MEDICARE: DR. LENDICITA Q MADDEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	D0074695	MD
2	207QA0505X	Adult Medicine Physician	MD5946	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407066723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENDICITA Q MADDEN MD

Provider Business Mailing Address
First Line	:	4808 POWDER HOUSE DR
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20853-1140
Country	:	US
Telephone Number	:	301-924-5394
Fax Number	:	301-762-3763

Provider Business Practice Location Address
First Line	:	10801 LOCKWOOD DR STE 140
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1559
Country	:	US
Telephone Number	:	240-899-5315
Fax Number	:	240-645-4013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	10/31/2018

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Directions to “ DR. LENDICITA Q MADDEN MD” Practice Location

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