Nandedkar, Maithily A.

Nandedkar, Maithily A. is an sole proprietor health care provider with primary practice located at 1801 Robert Fulton Dr Suite 520, Reston VA 20191-5461. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nandedkar, Maithily A. can be contacted via phone (703) 860-1818.

Contact Information

Primary practice address
1801 Robert Fulton Dr Suite 520 Reston VA 20191-5461
Fax: (703) 860-5303
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1558319319
LBN Legal business name Nandedkar, Maithily A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Dec 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558319319 NPPES
Virginia Other 7985486 AETNA
Virginia Other 192618 AETNA
Virginia Other 4036-0001 AETNA

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