Healthcare Provider Details

I. General information

NPI: 1265242390
Provider Name (Legal Business Name): PADDER HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 VAN DUSEN RD STE B40
LAUREL MD
20707-5241
US

IV. Provider business mailing address

7350 VAN DUSEN RD STE 130
LAUREL MD
20707-5267
US

V. Phone/Fax

Practice location:
  • Phone: 301-560-4747
  • Fax: 301-776-1729
Mailing address:
  • Phone: 301-560-4747
  • Fax: 301-776-1725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: FEROZ AHMAD PADDER
Title or Position: FOUNDER/CEO
Credential: MD
Phone: 301-560-4747