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NPI Code Detail

MEDICARE: SURGICAL ASSOCIATES, LLC

MEDICARE: SURGICAL ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
22085R0204XVascular & Interventional Radiology Physician
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
42086S0129XVascular Surgery Physician

General Provider Information

NPI Number : 1447121918
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGICAL ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 5801 ALLENTOWN RD STE 502
Second Line :
City : SUITLAND
State : MD
Zip : 20746-4653
Country : US
Telephone Number : 240-427-1630
Fax Number : 240-439-8285
Provider Business Practice Location Address
First Line : 10750 COLUMBIA PIKE STE 220
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4454
Country : US
Telephone Number : 240-427-1630
Fax Number : 240-439-8285
Authorized Official
Title or Position : OWNER
Name : RODEEN RAHBAR
Credential :
Telephone Number : 240-427-1630
Provider Enumeration Date : 09/16/2025
Last Update Date : 01/26/2026

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