Provider Demographics
NPI:1144489717
Name:DEMIDOWICH, ANDREW PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PAUL
Last Name:DEMIDOWICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9000 ROCKVILLE PIKE BLDG 10
Mailing Address - Street 2:RM 1-3330
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-1211
Mailing Address - Fax:301-480-4444
Practice Address - Street 1:8600 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1422
Practice Address - Country:US
Practice Address - Phone:301-896-3100
Practice Address - Fax:301-480-4444
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2017-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0076656207R00000X
MDD76656207RE0101X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism