Healthcare Provider Details

I. General information

NPI: 1255220984
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES OF MARYLAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14995 SHADY GROVE RD STE 300
ROCKVILLE MD
20850-8726
US

IV. Provider business mailing address

14995 SHADY GROVE RD STE 140
ROCKVILLE MD
20850-8734
US

V. Phone/Fax

Practice location:
  • Phone: 301-217-0500
  • Fax: 301-217-0501
Mailing address:
  • Phone: 301-217-0500
  • Fax: 301-217-0501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: KETAN NALIN NARAN
Title or Position: MEMBER/PHYSICIAN
Credential: M.D.
Phone: 301-217-0500