Organization
WASHINGTON CARDIOTHORACIC SURGERY ASSOC.,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID GHARAGOZLOO M.D. (SENIOR MEMBER)
(301) 601-9600
Entity
Organization
Contact information
Practice address
2175 K ST NW, SUITE 300, WASHINGTON, DC 20037-1831
(202) 775-9375
(202) 775-1599
Mailing address
PO BOX 60, GERMANTOWN, MD 20875-0060
(301) 601-9600
(301) 601-3771
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
484AWA
CARE FIRST BLUE SHIELD
MD
01
—
J449
CAREFIRST BLUESHIELD
DC
Enumeration date
06/11/2006
Last updated
10/15/2007
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