Maryland Pediatric Cardiology Center

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

D0040310 Issued in MD

Legal business name

MARYLAND PEDIATRIC CARDIOLOGY CENTER

Practice address

3004 Seneca Chief TRL
Ellicott City, MD 21042-1418

Phone

(443) 801-4202

NPI assigned

Jul 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mubadda Salim, M.D.

Title

Physician

Phone

(443) 801-4202

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1174878581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SENECA CHIEF TRL",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 SENECA CHIEF TRL",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421418",
            "telephone_number": "443-801-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PEDIATRIC CARDIOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "MUBADDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "443-801-4202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MD",
            "license": "D0040310",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101246900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Centers for Psychiatry
• Maryland CVS Pharmacy LLC
• Maryland CVS Pharmacy LLC
• Maryland Digestive Disease Center
• Maryland Family Care, Inc
• Maryland Podiatry Surgical Center, LLC
• Maryland Psychotherapy Services
• Maryland Rehab and Pain Specialists,LLC
• Maryland Specialty and Compounding Pharmacy LLC
• Maryland Spine Center Chartered

• Pediatric Cardiology Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Pediatric Cardiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.