Organization Active NPI

Vimla Bhooshan MD PC

  • Diagnostic Radiology Physician
  • Fort Washington, MD
National Provider Identifier
1508903287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VIMLA BHOOSHAN MD PC
Practice address
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone
(301) 203-2247
Fax
(301) 203-2070
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vimla Bhooshan, M.D.
Title
President
Phone
(301) 203-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

11711 Livingston Rd
Fort Washington, MD 20744-5151

Mailing address

9739 Avenel Farm Dr
Potomac, MD 20854-5413
Phone (301) 203-2247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508903287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9739 AVENEL FARM DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208545413",
            "telephone_number": "301-203-2247",
            "fax_number": "301-203-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 LIVINGSTON RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445151",
            "telephone_number": "301-203-2247",
            "fax_number": "301-203-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIMLA BHOOSHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHOOSHAN",
        "authorized_official_first_name": "VIMLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-203-2247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.