MEDICARE: SURGICAL ASSOCIATES CHARTERED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician
2	208600000X	Surgery Physician
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4	332B00000X	Durable Medical Equipment & Medical Supplies	MD
5	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1518954312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL ASSOCIATES CHARTERED

Provider Business Mailing Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 502
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	240-427-1630
Fax Number	:	240-492-2070

Provider Business Practice Location Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 502
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	240-427-1630
Fax Number	:	240-492-2070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RODEEN RAHBAR
Credential	:	M.D.
Telephone Number	:	240-427-1630

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	04/28/2025

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Directions to “SURGICAL ASSOCIATES CHARTERED ” Practice Location

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