Organization
CAPITOL CARDIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA SHETTY MD (PRESIDENT)
(301) 552-1200
Entity
Organization
Contact information
Practice address
8116 GOOD LUCK RD, SUITE 305, LANHAM, MD 20706-3502
(301) 552-1200
(301) 552-1202
Mailing address
8116 GOOD LUCK RD, SUITE 305, LANHAM, MD 20706-3502
(301) 552-1200
(301) 552-1202
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776861301
—
MD
Enumeration date
01/17/2006
Last updated
01/15/2025
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