Healthcare Provider Details

I. General information

NPI: 1831984897
Provider Name (Legal Business Name): ANDREW CHAU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WOOD HILL RD
ROCKVILLE MD
20850-8724
US

IV. Provider business mailing address

200 WOOD HILL RD
ROCKVILLE MD
20850-8724
US

V. Phone/Fax

Practice location:
  • Phone: 240-800-5772
  • Fax: 301-468-1862
Mailing address:
  • Phone: 240-800-5772
  • Fax: 301-468-1862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number32042
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: