Healthcare Provider Details

I. General information

NPI: 1184537433
Provider Name (Legal Business Name): WASHINGTON CARDIOVASCULAR INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE STE 103
WASHINGTON DC
20020-7033
US

IV. Provider business mailing address

2041 MARTIN LUTHER KING JR AVE SE STE 103
WASHINGTON DC
20020-7033
US

V. Phone/Fax

Practice location:
  • Phone: 301-927-3668
  • Fax: 301-927-3667
Mailing address:
  • Phone: 301-927-3668
  • Fax: 301-927-3667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUBASHAR A CHOUDRY
Title or Position: OWNER
Credential:
Phone: 301-891-2500