Organization
SPORTS & PERFORMANCE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT B SHAH M.D. (MEDICAL DIRECTOR)
(617) 230-8262
Entity
Organization
Contact information
Practice address
8401 CONNECTICUT AVE STE 104, CHEVY CHASE, MD 20815-5803
(240) 892-7070
(240) 248-0606
Mailing address
4710 ELM ST APT W405, BETHESDA, MD 20814-3818
(617) 230-8262
(240) 248-0606
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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