Basic Information
Provider Information
NPI: 1588741920
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ECHANDY
FirstName: IRMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21 MAPLEWOOD PARK CT
Address2:  
City: BETHESDA
State: MD
PostalCode: 208141731
CountryCode: US
TelephoneNumber: 3019898994
FaxNumber: 3019890021
Practice Location
Address1: 2415 MUSGROVE RD
Address2: 301
City: SILVER SPRING
State: MD
PostalCode: 209045200
CountryCode: US
TelephoneNumber: 3019898994
FaxNumber: 3019890021
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223P0221X13848MDY Dental ProvidersDentistPediatric Dentistry

No ID Information.


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