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NPI Code Detail

MEDICARE: MATTHEW BEVILLE CHANDLER M.D.

MEDICARE: MATTHEW BEVILLE CHANDLER M.D.
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
1207RG0100XGastroenterology PhysicianD94311MD
2207RG0100XGastroenterology PhysicianMD035665DC

General Provider Information

NPI Number : 1568618940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BEVILLE CHANDLER M.D.
Provider Business Mailing Address
First Line : 10770 COLUMBIA PIKE STE 400
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4462
Country : US
Telephone Number : 215-589-9012
Fax Number :
Provider Business Practice Location Address
First Line : 5550 FRIENDSHIP BLVD STE T90
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-7313
Country : US
Telephone Number : 240-737-0085
Fax Number : 202-296-0301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2008
Last Update Date : 06/13/2023

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