Organization
ADVANCED VASCULAR RESOURCES OF ATLANTA LLC
Active
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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