Healthcare Provider Details

I. General information

NPI: 1083714661
Provider Name (Legal Business Name): SEAN CHARLES BEINART M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15225 SHADY GROVE ROAD SUITE 201
ROCKVILLE MD
20850-3245
US

IV. Provider business mailing address

15225 SHADY GROVE ROAD SUITE 201
ROCKVILLE MD
20850-3245
US

V. Phone/Fax

Practice location:
  • Phone: 301-670-3000
  • Fax: 301-924-0186
Mailing address:
  • Phone: 301-670-3000
  • Fax: 301-924-0186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number050340
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number050340
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number050340
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberD0065447
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0065447
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: