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NPI Code Detail

MEDICARE: DR. SAPNA NANDYALA DDS

MEDICARE: DR. SAPNA NANDYALA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14710MD

General Provider Information

NPI Number : 1215247135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAPNA NANDYALA DDS
Provider Business Mailing Address
First Line : 3106 W SPRINGS DR
Second Line : APT E
City : ELLICOTT CITY
State : MD
Zip : 21043-3247
Country : US
Telephone Number : 703-855-1157
Fax Number :
Provider Business Practice Location Address
First Line : 5570 SILVER HILL RD
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1104
Country : US
Telephone Number : 302-202-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 01/14/2015

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