Individual
AJAY S SUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18111 PRINCE PHILIP DR, T-20, OLNEY, MD 20832-1513
(301) 774-3400
Mailing address
4110 ASPEN HILL RD, SUITE 200, ROCKVILLE, MD 20853-2853
(301) 438-5150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0059293
MD
2085R0204X
Vascular & Interventional Radiology Physician
D0059293
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010073588
—
VA
05
—
010073596
—
VA
05
—
010073618
—
VA
05
—
010073669
—
VA
05
—
010247501
—
VA
05
—
034685300
—
DC
05
—
401414600
—
MD
Enumeration date
06/29/2006
Last updated
12/20/2013
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