Healthcare Provider Details

I. General information

NPI: 1942291737
Provider Name (Legal Business Name): FEROZ AHMAD PADDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 VAN DUSEN RD SUITE 130
LAUREL MD
20707-5263
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 240-294-6677
  • Fax: 240-294-7645
Mailing address:
  • Phone: 240-294-6677
  • Fax: 240-294-7645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0050235
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberD0050235
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: