Healthcare Provider Details

I. General information

NPI: 1598746737
Provider Name (Legal Business Name): SUNIL NACHNANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 05/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7704 MATAPEAKE BUSINESS DR SUITE 325
BRANDYWINE MD
20613-3023
US

IV. Provider business mailing address

7704 MATAPEAKE BUSINESS DR SUITE 325
BRANDYWINE MD
20613-3023
US

V. Phone/Fax

Practice location:
  • Phone: 240-244-5151
  • Fax: 240-244-5131
Mailing address:
  • Phone: 240-244-5151
  • Fax: 240-244-5131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0038388
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number101042134
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD16993
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: