Washington Vascular Specialists of Frederick

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

D42222 Issued in MD

Legal business name

WASHINGTON VASCULAR SPECIALISTS OF FREDERICK

Practice address

15245 Shady Grove Rd
Suite 325
Rockville, MD 20850-3222

Phone

(301) 891-2500

Fax

(301) 448-1679

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Mubashar Choudry

Title

Owner

Phone

(301) 891-2500

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1801332804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR",
            "address_2": "SUITE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 325",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON VASCULAR SPECIALISTS OF FREDERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MUBASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-891-2500"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D42222",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D42222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Insight Solutions LLC
• Washington Nephrology Associates, L.L.P.
• Washington Nephrology Associates, L.L.P.
• Washington Open MRI Inc
• Washington Plastic Surgery Group, LLC
• Washington Vascular Specialists of Hagerstown
• Washington Vascular Specialists of PG County
• Rhonda Washington-Lewis
• Amani Washington
• Ariel Washington

• All providers in Rockville, MD
• Interventional Cardiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.