MEDICARE: HEART &RYTHM CENTER 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number	:	1639421787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART &RYTHM CENTER LLC

Provider Business Mailing Address
First Line	:	611 S CARLIN SPRINGS RD STE 301
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1086
Country	:	US
Telephone Number	:	703-801-2049
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 S CARLIN SPRINGS RD STE 301
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1086
Country	:	US
Telephone Number	:	703-801-2049
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ABDUL QADIR HAJI
Credential	:	MD
Telephone Number	:	703-801-2049

Provider Enumeration Date	:	10/12/2012
Last Update Date	:	01/20/2022

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