Individual
DR. EDWARD NUBAR BODURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 515, CHEVY CHASE, MD 20815-4404
(301) 656-4064
(301) 651-9561
Mailing address
5530 WISCONSIN AVE, SUITE 515, CHEVY CHASE, MD 20815-4404
(301) 656-4064
(301) 651-9561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0028064
MD
207RC0000X
Cardiovascular Disease Physician
Primary
D0028064
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32331400
—
MD
01
—
A575
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/16/2006
Last updated
04/07/2025
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