| Organization Name: | CARDIO VASCULAR CENTER, LLC |
| NPI Number: | 1275723488 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABDUL HABIB FADUL (OWNER) |
| Mailing Address: | 6228 Oxon Hill Rd Oxon Hill |
| State: | MD US |
| Postal Code: | 207453033 |
| Phone Number: | 3018703626 |
| Fax Number: | 3013926978 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 08/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | D0015765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |