MEDICARE: ROCKVILLE CARDIOLOGY CENTER PC

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	D0044155	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	:	1598190993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKVILLE CARDIOLOGY CENTER PC

Provider Business Mailing Address
First Line	:	11103 WELLAND ST
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878-4862
Country	:	US
Telephone Number	:	301-768-0552
Fax Number	:	301-933-7002

Provider Business Practice Location Address
First Line	:	12001 FERRARA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-4706
Country	:	US
Telephone Number	:	301-768-0552
Fax Number	:	301-933-7002

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ABDUL H ABBASI
Credential	:	M.D
Telephone Number	:	301-768-0552

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	09/05/2013

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