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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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