Organization
WASHINGTON VASCULAR SPECIALISTS OF FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBASHAR CHOUDRY (OWNER)
(301) 891-2500
Entity
Organization
Contact information
Practice address
15245 SHADY GROVE RD, SUITE 325, ROCKVILLE, MD 20850-3222
(301) 891-2500
(301) 448-1679
Mailing address
75 THOMAS JOHNSON DR, SUITE 1, FREDERICK, MD 21702-4895
(301) 891-2500
(301) 448-1679
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
D42222
MD
2086S0129X
Vascular Surgery Physician
D42222
MD
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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