Healthcare Provider Details

I. General information

NPI: 1306093844
Provider Name (Legal Business Name): CAPITOL CARDIOVASCULAR & THORACIC SURGERY ASSOC. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2175 K ST NW STE C100
WASHINGTON DC
20037-1848
US

IV. Provider business mailing address

6035 BURKE CENTRE PKWY STE 390
BURKE VA
22015-3750
US

V. Phone/Fax

Practice location:
  • Phone: 202-775-5111
  • Fax: 202-775-5112
Mailing address:
  • Phone: 703-978-1196
  • Fax: 703-978-7762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SALIM AZIZ
Title or Position: CEO
Credential: MD
Phone: 202-775-5111