Healthcare Provider Details

I. General information

NPI: 1639983711
Provider Name (Legal Business Name): SURGICAL ASSOCIATES CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE STE 318
WASHINGTON DC
20017-2103
US

IV. Provider business mailing address

5801 ALLENTOWN RD STE 502
CAMP SPRINGS MD
20746-4653
US

V. Phone/Fax

Practice location:
  • Phone: 240-427-1630
  • Fax:
Mailing address:
  • Phone: 240-427-1630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RODEEN RAHBAR
Title or Position: PRESIDENT
Credential:
Phone: 240-427-1630