Healthcare Provider Details

I. General information

NPI: 1194899021
Provider Name (Legal Business Name): SVEN INGO ENDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MEDICAL PKWY SUITE 310
ANNAPOLIS MD
21401-3046
US

IV. Provider business mailing address

201 DEFENSE HWY SUITE 100
ANNAPOLIS MD
21401-8943
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-2400
  • Fax: 410-224-4232
Mailing address:
  • Phone: 443-481-3354
  • Fax: 443-481-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberD57994
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: