Organization
CAPITOL CARDIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA R SHETTY (AUTHORIZED OFFICAL)
(301) 552-1200
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD STE 105, GLENN DALE, MD 20769-9183
(301) 805-1250
Mailing address
8116 GOOD LUCK RD STE 305, LANHAM, MD 20706-3508
(301) 552-1200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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