Organization
CAPITOL VASCULAR AND ONCOLOGY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYUN J BANG MD (OWNER)
(301) 358-6070
Entity
Organization
Contact information
Practice address
7704 MATAPEAKE BUSINESS DR STE 130, BRANDYWINE, MD 20613-3049
(301) 358-6070
(301) 358-6111
Mailing address
PO BOX 902, MC LEAN, VA 22101-0902
(301) 358-6070
(301) 358-6111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013917967
—
DC
05
—
7776403000
—
MD
Enumeration date
06/13/2018
Last updated
11/16/2023
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