Healthcare Provider Details

I. General information

NPI: 1063411106
Provider Name (Legal Business Name): JOANN URQUHART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 02/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 KEY WEST AVE STE 340
ROCKVILLE MD
20850-6257
US

IV. Provider business mailing address

9420 KEY WEST AVE STE 340
ROCKVILLE MD
20850-6257
US

V. Phone/Fax

Practice location:
  • Phone: 301-762-4202
  • Fax: 301-424-0467
Mailing address:
  • Phone: 301-762-4202
  • Fax: 301-424-0467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberD0025881
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License NumberD0025881
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License NumberD002588
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberD0025881
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberD0025881
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: