Organization
SURGICAL ASSOCIATES CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODEEN RAHBAR (CREDENTIALING/CONTRACTS MANAGER)
(240) 427-1630
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD, SUITE 502, CAMP SPRINGS, MD 20746-4563
(240) 427-1760
(240) 427-1790
Mailing address
5801 ALLENTOWN RD STE 502, CAMP SPRINGS, MD 20746-4653
(240) 427-1630
(240) 492-2070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H0061922
MD
2086S0129X
Vascular Surgery Physician
Primary
D0024644
MD
2086S0129X
Vascular Surgery Physician
D0028639
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0026021
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0059944
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
429555
PTAN
—
01
—
KN56
PTAN
—
Enumeration date
10/28/2008
Last updated
02/18/2026
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