Marvin Chadab MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0020477 Issued in MD

Legal business name

MARVIN CHADAB MD PA

Practice address

6130 Oxon Hill Rd
Suite 201
Oxon Hill, MD 20745-3168

Phone

(301) 567-2774

Fax

(301) 567-4498

NPI assigned

Sep 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marvin Chadab, MD

Title

President

Phone

(301) 567-2774

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1467552729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD",
            "address_2": "SUITE 201",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453168",
            "telephone_number": "301-567-2774",
            "fax_number": "301-567-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD",
            "address_2": "SUITE 201",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453168",
            "telephone_number": "301-567-2774",
            "fax_number": "301-567-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN CHADAB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "CHADAB",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-567-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0020477",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101028798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2803515",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252451100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI BLUE CROSS",
            "identifier": "8084",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Motshabi Mamotsumi Makhene-Deloach, DDS
• Isabelle Malle
• Vipul Mangal, M.D.
• Kezia Marceline, PT
• Lakshmi Lavanya Marella, MD
• Maryland Children Health Center
• Maryland CVS Pharmacy LLC
• Maryland CVS Pharmacy LLC
• Marian Mason, DDS
• Stacey Mason

• Dermatology Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.