Active NPI
V. Prem Chandar, M.D., P.a.
Doing business as Affiliated Digestive Disease Specialists
- Gastroenterology Physician
- Cheverly, MD
National Provider Identifier
1245380278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D16380
- Legal business name
- V. PREM CHANDAR, M.D., P.A.
- Doing business as
- Affiliated Digestive Disease Specialists
- Practice address
- 6001 Landover Rd
Suite 3
Cheverly, MD 20785-1143 - Phone
- (301) 773-1111
- Fax
- (301) 773-7869
- NPI assigned
- Jan 11, 2007
- Last updated
- Sep 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sasikala Chandar
- Title
- Office Manager
- Phone
- (301) 773-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D16380 | MD | Primary |
Addresses
Primary practice location
6001 Landover Rd
Suite 3
Cheverly, MD 20785-1143
Mailing address
6001 Landover Rd
Suite 3
Cheverly, MD 20785-1143
Phone (301) 773-1111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143601500 | Medicaid | MD | |
| 100006612 | Other | DC | MEDICARE RR |
Other names 1
- AFFILIATED DIGESTIVE DISEASE SPECIALISTS
National Provider Directory
National Provider DirectoryLocations
6001 Landover Rd
Cheverly, MD 20785
Phone (301) 322-4041
6001 Landover Rd
Ste 3
Cheverly, MD 20785
Phone (301) 773-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1508850991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348617600000",
"number": "1245380278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 LANDOVER RD",
"address_2": "SUITE 3",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851143",
"telephone_number": "301-773-1111",
"fax_number": "301-773-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 LANDOVER RD",
"address_2": "SUITE 3",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851143",
"telephone_number": "301-773-1111",
"fax_number": "301-773-7869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "V. PREM CHANDAR, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2012-09-26",
"status": "A",
"authorized_official_last_name": "CHANDAR",
"authorized_official_first_name": "SASIKALA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-773-1111",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D16380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143601500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "100006612",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AFFILIATED DIGESTIVE DISEASE SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.