Healthcare Provider Details
I. General information
NPI: 1700630688
Provider Name (Legal Business Name): ALI CHAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/16/2024
Last Update Date: 03/07/2025
Certification Date:
Deactivation Date: 12/05/2024
Reactivation Date: 03/07/2025
III. Provider practice location address
2041 GEORGIA AVENUE, NW, HOWARD UNIVERSITY HOSPITAL NORTHWEST SUITE 2039
WASHINGTON DC
20060
US
IV. Provider business mailing address
2041 GEORGIA AVENUE, NW, HOWARD UNIVERSITY HOSPITAL NORTHWEST SUITE 2039
WASHINGTON DC
20060
US
V. Phone/Fax
- Phone: 202-865-7151
- Fax:
- Phone: 202-865-7151
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: