MEDICARE: DR. AMJAD MIAN RASUL M.D.

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	D0025802	MD
2	207RC0000X	Cardiovascular Disease Physician	MD12149	DC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	110125682	OTHER		MEDICARE RR

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
2	25272	OTHER		MAMSI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	146992001	OTHER		UNITED HEALTH CARE
5	471514	OTHER		AETNA HMO
6	3082912	OTHER		CIGNA
7	521467413	OTHER		MULTIPLAN
8	9476	OTHER	DC	BCBS
10	1863236	OTHER		FIRST HEALTH PPO
11	495350	OTHER		NCPPO
12	4088591	OTHER		AETNA
13	41964107	OTHER	MD	BCBS

General Provider Information

NPI Number	:	1841284213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMJAD MIAN RASUL M.D.

Provider Business Mailing Address
First Line	:	17770 CHIPPING CT
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1626
Country	:	US
Telephone Number	:	301-570-7813
Fax Number	:	202-526-6025

Provider Business Practice Location Address
First Line	:	1160 VARNUM ST., N.E.
Second Line	:	#114
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2110
Country	:	US
Telephone Number	:	202-526-8966
Fax Number	:	202-526-6025

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/10/2010

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