Individual provider Active NPI

Urmil Dhanda, MD

  • General Practice Physician
  • Pasadena, MD
National Provider Identifier
1669417846
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0020416 Issued in MD
Practice address
8028 Ritchie Highway
Suite 114
Pasadena, MD 21122-1020
Phone
(410) 761-1870
Fax
(410) 761-5484
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0020416 MD Primary

Addresses

Primary practice location

8028 Ritchie Highway
Suite 114
Pasadena, MD 21122-1020

Mailing address

8028 Ritchie Hwy
Ste 114
Pasadena, MD 21122
Phone (410) 761-1870

Other identifiers 1

IdentifierTypeStateIssuer
699827500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0020416MDMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1669417846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "STE 114",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-761-1870",
            "fax_number": "410-761-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HIGHWAY",
            "address_2": "SUITE 114",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221020",
            "telephone_number": "410-761-1870",
            "fax_number": "410-761-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANDA",
        "first_name": "URMIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0020416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699827500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.