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General NPI Number Information
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NPI Number | 1538378906
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Entity Type | Organization
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Legal Business Name | MOSAM CARDIOVASCULAR SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3001 HOSPITAL DR
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City | CHEVERLY
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State | MD
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Zip | 20785-1189
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Country | US
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Telephone | 301-618-2089
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Fax |
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Provider Business Mailing Address
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Address Line | 6510 KENILWORTH AVE SUITE 2500
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City | RIVERDALE
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State | MD
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Zip | 20737-1339
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Country | US
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Telephone | 301-618-2089
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MOHAMMAD A NAFICY
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Credential | MD
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Telephone | 301-618-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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