Healthcare Provider Details

I. General information

NPI: 1891087565
Provider Name (Legal Business Name): WASHINGTON HEART AND VASCULAR CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 06/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW SUITE 218 (POB/SOUTH TOWER)
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW SUITE 218 (POB/SOUTH TOWER)
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 251-404-3759
  • Fax:
Mailing address:
  • Phone: 251-404-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number037237
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number037237
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number037237
License Number StateDC

VIII. Authorized Official

Name: DR. ASMIR IKRAM SYED
Title or Position: PHYSICIAN
Credential: MD
Phone: 251-404-3759