Healthcare Provider Details

I. General information

NPI: 1598588709
Provider Name (Legal Business Name): CAPITAL SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 07/04/2025
Certification Date: 07/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 E WEST HWY STE 504A
BETHESDA MD
20814-4536
US

IV. Provider business mailing address

6820 MORNING BROOK TER
ALEXANDRIA VA
22315-6117
US

V. Phone/Fax

Practice location:
  • Phone: 240-316-9117
  • Fax:
Mailing address:
  • Phone: 612-616-9669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GOBINDVEER SINGH SAHI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 612-616-9669