| Natasha Sandy Md Pa | |
|
8890 Centre Park Dr Ste 300b Columbia MD 21045-2188 | |
| (410) 696-7553 | |
| (410) 696-7510 |
| Full Name | Natasha Sandy Md Pa |
|---|---|
| Speciality | Dermatology |
| Location | 8890 Centre Park Dr Ste 300b, Columbia, Maryland |
| Authorized Official Name and Position | Natasha A. Sandy (PRESIDENT) |
| Authorized Official Contact | 4432557089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha Sandy Md Pa 2710 Goodwood Rd Baltimore MD 21214-2109 Ph: (443) 255-7089 | Natasha Sandy Md Pa 8890 Centre Park Dr Ste 300b Columbia MD 21045-2188 Ph: (410) 696-7553 |
| NPI Number | 1912245242 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912245242 | NPI | - | NPPES |
| 271236 | Other | MD | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maryland) | Secondary |
| 207N00000X | Dermatology | (Maryland) | Primary |
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