Organization Active NPI

V. Prem Chandar, M.D., P.a.

Doing business as Affiliated Digestive Disease Specialists

  • Gastroenterology Physician
  • Cheverly, MD
National Provider Identifier
1245380278
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D16380 Issued in MD
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
143601500MedicaidMD
100006612OtherDCMEDICARE RR

Other names 1

  • AFFILIATED DIGESTIVE DISEASE SPECIALISTS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.