Alexander Maxwell Kandabarow, MD | |
2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 | |
(703) 680-2111 | |
Not Available |
Full Name | Alexander Maxwell Kandabarow |
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Gender | Male |
Speciality | Urology |
Location | 2296 Opitz Blvd Ste 350, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649630211 | NPI | - | NPPES |
Entity Name | Potomac Urology Center, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861588592 PECOS PAC ID: 1557329406 Enrollment ID: O20041227000203 |
Entity Name | Potomac Urology Surgery Center, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1629659800 PECOS PAC ID: 1557767860 Enrollment ID: O20210913002133 |
Mailing Address | Practice Location Address |
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Alexander Maxwell Kandabarow, MD 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 Ph: (703) 680-2111 | Alexander Maxwell Kandabarow, MD 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 Ph: (703) 680-2111 |
Dr. Shawn Marhamati, M.D: Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Brian John Decastro, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-546-4782 Fax: 703-546-4782 | |
Ek Seng Lou, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Dr. John Brian Klein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Pratik S Desai, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Shawn James Mendonca, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
William C. Reha, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, #220, Woodbridge, VA 22191 Phone: 703-670-5107 Fax: 703-670-8435 |