NPIMap

Organization Active NPI

Atlantis Vascular Resources LLC

  • Cardiovascular Disease Physician
  • Hagerstown, MD
National Provider Identifier
1821444902
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0042222 Issued in MD
Legal business name
ATLANTIS VASCULAR RESOURCES LLC
Practice address
11110 Medical Campus Rd Ste 101
Hagerstown, MD 21742-6711
Phone
(240) 329-0999
Fax
(240) 329-2755
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Mubashar A Choudry, MD
Title
Owner
Phone
(301) 891-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X D0042222 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 101
Hagerstown, MD 21742-6711

Mailing address

15245 Shady Grove Rd Ste 325
Rockville, MD 20850-6280
Phone (301) 434-0050

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1821444902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 325",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506280",
            "telephone_number": "301-434-0050",
            "fax_number": "301-448-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426711",
            "telephone_number": "240-329-0999",
            "fax_number": "240-329-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS VASCULAR RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MUBASHAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-891-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0042222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.