# WASHINGTON VASCULAR SURGI CENTER LLC

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

## Provider details

- **NPI number:** 1821526021
- **Authorized official:** MUBASHAR A. CHOUDRY MD (OWNER)
- **Authorized official phone:** (301) 891-2500

## Contact information

- **Practice address:** 7610 CARROLL AVE STE 100, TAKOMA PARK, MD 20912-6311
- **Practice address phone:** (301) 891-2500
- **Practice address fax:** (301) 891-2500
- **Mailing address:** 15245 SHADY GROVE RD STE 325N, ROCKVILLE, MD 20850-3222
- **Mailing address phone:** (301) 891-2500
- **Mailing address fax:** (301) 448-1679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2017
- **Last updated:** 07/05/2017