Individual
VIVEK NAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3510 OLD WASHINGTON ROAD, SUITE 100, WALDORF, MD 20602-3234
(301) 932-5890
(301) 645-6361
Mailing address
3510 OLD WASHINGTON ROAD, SUITE 100, WALDORF, MD 20602-3234
(301) 932-5890
(301) 645-6361
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0043070
MD
207RC0000X
Cardiovascular Disease Physician
MD30816
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138871100
—
MD
Enumeration date
11/07/2005
Last updated
10/08/2012
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