Healthcare Provider Details

I. General information

NPI: 1801920145
Provider Name (Legal Business Name): VASCULAR AND CARDIOTHORACIC ASSOCIATES OF MARYLAND PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 WASHINGTON ROAD SUITE 209
WESTMINSTER MD
21157-4915
US

IV. Provider business mailing address

826 WASHINGTON ROAD SUITE 209
WESTMINSTER MD
21157-4915
US

V. Phone/Fax

Practice location:
  • Phone: 410-840-8203
  • Fax: 410-751-2816
Mailing address:
  • Phone: 410-840-8203
  • Fax: 410-751-2816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SOHAILA ALI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-486-5901