Healthcare Provider Details

I. General information

NPI: 1083288781
Provider Name (Legal Business Name): WASHINGTON CARDIOVASCULAR INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 W CAMDEN ST STE 201
BALTIMORE MD
21201-7912
US

IV. Provider business mailing address

7610 CARROLL AVE STE 100
TAKOMA PARK MD
20912-6311
US

V. Phone/Fax

Practice location:
  • Phone: 410-541-7800
  • Fax: 410-541-7900
Mailing address:
  • Phone: 301-918-2500
  • Fax: 301-448-1679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MUBASHAR A CHOUDRY
Title or Position: OWNER
Credential: MD
Phone: 13-891-2500