Provider Demographics
NPI:1427391309
Name:ANNAN, ELEANOR NAADEI (MD)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:NAADEI
Last Name:ANNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELEANOR
Other - Middle Name:NAADEI
Other - Last Name:ANNAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9805 MAIN ST
Mailing Address - Street 2:STE 202 #128
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2079
Mailing Address - Country:US
Mailing Address - Phone:301-569-2648
Mailing Address - Fax:301-517-9032
Practice Address - Street 1:23410 WOODFIELD RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-3014
Practice Address - Country:US
Practice Address - Phone:919-450-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361402522084P0800X
390200000X
MDD00961682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0096168OtherMARYLAND PHYSICIAN LICENSE