Ravinder K Rustagi M.D.P.a

Primary specialty

SpecialistTaxonomy code 174400000X

License

D24720 Issued in MD

Legal business name

RAVINDER K RUSTAGI M.D.P.A

Practice address

6132 Landover Rd
Cheverly, MD 20785-1022

Phone

(301) 386-2666

Fax

(301) 386-2085

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ravinder K Rustagi, M.D.NPI 1063486090

Title

President

Phone

(301) 386-2666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravinder K Rustagi, M.D.

  • Cardiovascular Disease Physician
  • Cheverly, MD
  • NPI 1063486090
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1528180551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 BELLE TERRE WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544643",
            "telephone_number": "301-765-2256",
            "fax_number": "301-765-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851022",
            "telephone_number": "301-386-2666",
            "fax_number": "301-386-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER K RUSTAGI M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "RUSTAGI",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-386-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D24720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.