MEDICARE: DR. MONICA PAREKH CHANDRAN DMD, MS

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	122300000X	Dentist	055685-1	NY
2	1223P0700X	Prosthodontics	15118	MD

General Provider Information

NPI Number	:	1477819365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA PAREKH CHANDRAN DMD, MS

Provider Business Mailing Address
First Line	:	18121 GEORGIA AVE
Second Line	:	STE. 110
City	:	OLNEY
State	:	MD
Zip	:	20832-1437
Country	:	US
Telephone Number	:	240-454-5718
Fax Number	:

Provider Business Practice Location Address
First Line	:	18121 GEORGIA AVE
Second Line	:	SUITE 110
City	:	OLNEY
State	:	MD
Zip	:	20832-1437
Country	:	US
Telephone Number	:	240-454-5718
Fax Number	:

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

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	07/20/2015

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