MEDICARE: SURGICAL ASSOCIATES CHARTERED

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
1	208600000X	Surgery Physician
2	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1558175638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL ASSOCIATES CHARTERED

Provider Business Mailing Address
First Line	:	5801 ALLENTOWN RD STE 502
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4653
Country	:	US
Telephone Number	:	240-427-1630
Fax Number	:

Provider Business Practice Location Address
First Line	:	11350 PEMBROOKE SQ STE 311
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4809
Country	:	US
Telephone Number	:	240-427-1630
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RODEEN RAHBAR
Credential	:
Telephone Number	:	240-427-1630

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/18/2026

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