Wachal, Brandon M

Wachal, Brandon M is an individual health care provider with primary practice located at 600 Ridgely Ave Ste 110 , Annapolis MD 21401-1082. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Wachal, Brandon M can be contacted via phone (410) 573-9191.

Contact Information

Primary practice address
600 Ridgely Ave Ste 110 Annapolis MD 21401-1082
Phone: (410) 573-9191
Fax: (410) 573-5910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D0091646 Maryland
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 7401 Nebraska
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X D0091646 Maryland
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X D0091646 Maryland

Profile Details

NPI number 1710366018
LBN Legal business name Wachal, Brandon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated Oct 10th, 2022 - about 2 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 1710366018 NPPES
Maryland Other 4695852 AETNA
Maryland Other D0091646 AETNA
Maryland Other FN66-0003 AETNA
Maryland MEDICAID 219423600 AETNA
Maryland Other 7401 AETNA

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