Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D0055140 | MD |
NPI | 1013058437 |
---|---|
Provider Name | Dr. Allan Robert Handysides |
First Address | Silver Spring, MD 20904-6601 |
Second Address | Silver Spring, MD 20904-6601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D0055140 | MEDICAL LICENSE (01) | MD |