MEDICARE: CARTE MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1144049958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTE MEDICAL LLC

Provider Business Mailing Address
First Line	:	11110 SUNSET HILLS RD UNIT 2112
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20190-9997
Country	:	US
Telephone Number	:	202-897-4232
Fax Number	:

Provider Business Practice Location Address
First Line	:	2313 ALLENDALE RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-2156
Country	:	US
Telephone Number	:	202-897-4232
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GINA SIDDIQUI
Credential	:	MD
Telephone Number	:	202-897-4232

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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Directions to “CARTE MEDICAL LLC ” Practice Location

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