Healthcare Provider Details

I. General information

NPI: 1912313941
Provider Name (Legal Business Name): DR. SOMYA DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10903 NEW HAMPSHIRE AVE BUILDING 22, ROOM 2445
SILVER SPRING MD
20903-1058
US

IV. Provider business mailing address

10903 NEW HAMPSHIRE AVE BUILDING 22, ROOM 2445
SILVER SPRING MD
20903-1058
US

V. Phone/Fax

Practice location:
  • Phone: 301-796-3829
  • Fax:
Mailing address:
  • Phone: 301-796-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0063293
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: