MAIDEN CHOICE CARDIAC DIAGNOSTIC CENTER NPI 1366491557

NPI Information

NPI: 1366491557
Provider Name: MAIDEN CHOICE CARDIAC DIAGNOSTIC CENTER

Former Legal Business Name: ST. AGNES CARDIAC DIAGNOSTIC CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
724 MAIDEN CHOICE LN
SUITE 203
BALTIMORE, MD
ZIP 21228
Phone: (410) 455-0200
Get Directions

MAIDEN CHOICE CARDIAC DIAGNOSTIC CENTER is a cardiovascular disease internal medicine in Baltimore, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MAIDEN CHOICE CARDIAC DIAGNOSTIC CENTER NPI is 1366491557. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is St. Agnes Cardiac Diagnostic Center.

The provider's business location address is:

724 MAIDEN CHOICE LN
SUITE 203
BALTIMORE, MD
ZIP 21228-911
Phone: (410) 455-0200
Fax: (410) 455-0009

The provider's authorized official is Homayoon Moghbeli .
The authorized official title is Md and has the following contact phone number (410) 455-0200.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 8/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K480	MEDICARE PIN
2	174680400	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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