Organization Active NPI

Washington Vascular Surgi Center LLC

  • Multi-Specialty Clinic/Center
  • Takoma Park, MD
National Provider Identifier
1821526021
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WASHINGTON VASCULAR SURGI CENTER LLC
Practice address
7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone
(301) 891-2500
Fax
(301) 891-2500
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Mubashar A. Choudry, MDNPI 1770585150
Title
Owner
Phone
(301) 891-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311

Mailing address

15245 Shady Grove Rd Ste 325N
Rockville, MD 20850-3222
Phone (301) 891-2500

National Provider Directory

National Provider Directory

Locations

15245 Shady Grove Rd
Ste 325N
Rockville, MD 20850

Practitioners & affiliated clinicians

Practitioners 2

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": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1821526021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 325N",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "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": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-891-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON VASCULAR SURGI CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-07-05",
        "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.