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1154389138

NPI Code Detail

MEDICARE: DR. VIVEK BAHL MD

MEDICARE: DR. VIVEK BAHL MD

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	207RC0000X	Cardiovascular Disease Physician	0101230081	VA
2	207RC0000X	Cardiovascular Disease Physician	MD33689	DC
3	207RI0011X	Interventional Cardiology Physician	0101230081	VA
4	207RI0011X	Interventional Cardiology Physician	D0057926	MD
5	207RI0011X	Interventional Cardiology Physician	MD33689	DC
6	207RC0000X	Cardiovascular Disease Physician	D0057926	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154389138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIVEK BAHL MD

Provider Business Mailing Address
First Line	:	8116 GOOD LUCK RD
Second Line	:	SUITE 305
City	:	LANHAM
State	:	MD
Zip	:	20706-3502
Country	:	US
Telephone Number	:	301-552-1200
Fax Number	:	301-552-1202

Provider Business Practice Location Address
First Line	:	8116 GOOD LUCK RD STE 305
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-3508
Country	:	US
Telephone Number	:	301-552-1200
Fax Number	:	301-552-1202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	06/20/2024

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Directions to “ DR. VIVEK BAHL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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