# CARDIO VASCULAR CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275723488
- **Authorized official:** DR. ABDUL HABIB FADUL M.D. (OWNER)
- **Authorized official phone:** (301) 870-3626

## Contact information

- **Practice address:** 6228 OXON HILL RD, OXON HILL, MD 20745-3033
- **Practice address phone:** (301) 870-3626
- **Practice address fax:** (301) 392-6978
- **Mailing address:** 6228 OXON HILL RD, P.O. BOX 1098, OXON HILL, MD 20745-3033
- **Mailing address phone:** (301) 870-3626
- **Mailing address fax:** (301) 392-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | D0015765 | MD | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 08/27/2008