Healthcare Provider Details

I. General information

NPI: 1629242995
Provider Name (Legal Business Name): ALI HENDI, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE SUITE 725
CHEVY CHASE MD
20815-6901
US

IV. Provider business mailing address

5454 WISCONSIN AVE SUITE 725
CHEVY CHASE MD
20815-6901
US

V. Phone/Fax

Practice location:
  • Phone: 301-986-1212
  • Fax:
Mailing address:
  • Phone: 301-986-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI HENDI
Title or Position: PRESIDENT
Credential: MD
Phone: 301-986-1212