Doctor Name: | MR. KENNETH ANDRE DESANDIES |
NPI Number: | 1417059239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 029522 |
Business Practice Address: | 6192 Oxon Hill Rd Suite 303 Oxon Hill, MD - 20745 |
Business Phone Number: | 3015670978 |
Business Fax Number: | 3015673155 |
Mailing Address: | 6192 Oxon Hill Rd, Suite 303 OXON HILL |
State: | MD |
Postal Code: | 20745 |
Phone Number: | 3015670978 |
Fax Number: | 3015673155 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 029522 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |