Organization
CARDIO VASCULAR CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL HABIB FADUL M.D. (OWNER)
(301) 870-3626
Entity
Organization
Contact information
Practice address
6228 OXON HILL RD, OXON HILL, MD 20745-3033
(301) 870-3626
(301) 392-6978
Mailing address
6228 OXON HILL RD, P.O. BOX 1098, OXON HILL, MD 20745-3033
(301) 870-3626
(301) 392-6978
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
D0015765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000100153
—
VA
05
—
026722100
—
DC
05
—
172300600
—
MD
Enumeration date
07/25/2007
Last updated
08/27/2008
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