Healthcare Provider Details

I. General information

NPI: 1518954312
Provider Name (Legal Business Name): SURGICAL ASSOCIATES CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 ALLENTOWN RD SUITE 502
CAMP SPRINGS MD
20746-4563
US

IV. Provider business mailing address

5801 ALLENTOWN RD SUITE 502
CAMP SPRINGS MD
20746-4563
US

V. Phone/Fax

Practice location:
  • Phone: 240-427-1630
  • Fax: 240-492-2070
Mailing address:
  • Phone: 240-427-1630
  • Fax: 240-492-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

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