Healthcare Provider Details

I. General information

NPI: 1538499504
Provider Name (Legal Business Name): CAPITAL INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL PARK DR SUITE 200
SILVER SPRING MD
20902-4053
US

IV. Provider business mailing address

2101 MEDICAL PARK DR SUITE 200
SILVER SPRING MD
20902-4053
US

V. Phone/Fax

Practice location:
  • Phone: 301-933-3216
  • Fax: 301-933-4941
Mailing address:
  • Phone: 301-933-3216
  • Fax: 301-933-4941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: KASHIF A FIROZVI
Title or Position: OWNER
Credential: MD
Phone: 301-933-3216