Organization
HEART CENTER OF SOUTHERN MARYLAND, L.L.P.
Active
Organization
HEART CENTER OF SOUTHERN MARYLAND, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOPALAKRISHNAN SRINIVASAN M.D. (OWNER/M.D.)
(301) 932-5890
Entity
Organization
Contact information
Practice address
3510 OLD WASHINGTON RD, SUITE 100, WALDORF, MD 20602-3233
(301) 870-6002
(301) 843-7783
Mailing address
3510 OLD WASHINGTON RD, SUITE 100, WALDORF, MD 20602-3233
(301) 870-6002
(301) 843-7783
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040196000
—
MD
01
—
CC6769
RAILROAD MEDICARE
—
01
—
CJ4451
RAILROAD MEDICARE
—
Enumeration date
01/12/2006
Last updated
05/11/2026
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