Organization
AVICENNA RADIOLOGY PARTNERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED BOUKADOUM MD (PRESIDENT)
(301) 877-4772
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 877-4772
(301) 868-7943
Mailing address
1201 SEVEN LOCKS RD, SUITE 200, ROCKVILLE, MD 20854-2931
(301) 652-5771
(301) 652-6332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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