Organization Active NPI

Rodeen Rahbar MD LLC

  • Vascular Surgery Physician
  • Silver Spring, MD
National Provider Identifier
1639570583
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0076347 Issued in MD
Legal business name
RODEEN RAHBAR MD LLC
Practice address
1010 Wayne Ave
Suite 410
Silver Spring, MD 20910-5600
Phone
(301) 679-5773
Fax
(301) 679-5773
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Rodeen Rahbar, MD
Title
President
Phone
(301) 679-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X D0076347 MD Primary

Addresses

Primary practice location

1010 Wayne Ave
Suite 410
Silver Spring, MD 20910-5600

Mailing address

1010 Wayne Ave
Suite 410
Silver Spring, MD 20910-5600
Phone (301) 679-5773

Other identifiers 1

IdentifierTypeStateIssuer
1912087453OtherNPI ENTITY TYPE 1

National Provider Directory

National Provider Directory

Locations

5801 Allentown Rd
Ste 501
Camp Springs, MD 20746
Phone (304) 679-5773

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1639570583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE",
            "address_2": "SUITE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105600",
            "telephone_number": "301-679-5773",
            "fax_number": "301-679-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE",
            "address_2": "SUITE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105600",
            "telephone_number": "301-679-5773",
            "fax_number": "301-679-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEEN RAHBAR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "RAHBAR",
        "authorized_official_first_name": "RODEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-679-5773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0076347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY TYPE 1",
            "identifier": "1912087453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.