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Organization

ADVANCED VASCULAR RESOURCES OF ATLANTA LLC

Active
Other names
AVR of Atlanta
Organization subpart
No

Provider details

NPI number
Authorized official
MOBUSHER MAHMUD M.D. (MEDICAL DIRECTOR)
(703) 994-6655
Entity
Organization

Contact information

Practice address
1938 PEACHTREE RD NW, SUITE L5, ATLANTA, GA 30309-1267
(678) 831-2722
(678) 999-5055
Mailing address
20032 NORTHVILLE HILLS TER, ASHBURN, VA 20147-7020
(703) 994-6655
(571) 291-2752

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
Primary
207UN0901X
Nuclear Cardiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Enumeration date
07/16/2013
Last updated
10/23/2013
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