Delistathis, Sandra M

Delistathis, Sandra M is an individual health care provider with primary practice located at 4701 Sangamore Rd Unite N270, Bethesda MD 20816-2508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Delistathis, Sandra M can be contacted via phone (240) 507-5110.

Contact Information

Primary practice address
4701 Sangamore Rd Unite N270 Bethesda MD 20816-2508
Phone: (240) 507-5110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0059980 Maryland

Profile Details

NPI number 1023009974
LBN Legal business name Delistathis, Sandra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Apr 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023009974 NPPES
Maryland MEDICAID 415096100

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