Provider Demographics
NPI:1932206406
Name:TANDJEU, DENISE TANDJEU (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:TANDJEU
Last Name:TANDJEU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2808
Mailing Address - Country:US
Mailing Address - Phone:540-536-8000
Mailing Address - Fax:
Practice Address - Street 1:351 VALLEY HEALTH WAY
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6480
Practice Address - Country:US
Practice Address - Phone:540-536-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240377207R00000X, 208M00000X
PAMD430402207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1559228OtherGATEWAY
PA2165443OtherMAMSI
PA25-1716306OtherGREATWEST HEALTHCARE
PA25-1716306OtherDEVON
PA263104OtherUNISON
PA1007307260034OtherMEDICAID GROUP #
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA5745667OtherFIRST HEALTH
PA867633OtherMEDICARE GROUP #
PAMD430402OtherLICENSE
PA25-1716306OtherINFORMED
PAV109-0015OtherCAREFIRST DC
PA50065196OtherCAPITAL BLUECROSS
PAP00377946OtherRAILROAD MEDICARE
PA120420407OtherDEPT OF LABOR
PA25-1716306OtherMULTIPLAN/PHCS
PA25-1716306OtherINTERGROUP
PA1018056250001Medicaid
PA7204872OtherAETNA NON-HMO
PATA1936321OtherHIGHMARK BLUESHIELD
PA1457805OtherAETNA HMO
PA25-1716306OtherHEALTHNET/TRICARE
PA690719OtherHEALTH AMERICA
PA913385-01OtherCAREFIRST MD
PAMD430402OtherLICENSE
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherINTERGROUP