MEDSTAR MEDICAL GROUP RADIOLOGY LLC NPI 1326450156

NPI Information

NPI: 1326450156
Provider Name: MEDSTAR MEDICAL GROUP RADIOLOGY, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
110 IRVING ST NW
WASHINGTON, DC
ZIP 20010
Phone: (301) 902-1073
Get Directions

MEDSTAR MEDICAL GROUP RADIOLOGY, LLC is a diagnostic radiology radiology in Washington, DC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDSTAR MEDICAL GROUP RADIOLOGY, LLC NPI is 1326450156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 IRVING ST NW
WASHINGTON, DC
ZIP 20010-017
Phone: (301) 902-1073
Fax: (301) 902-1086

The provider's authorized official is Steven H Brick .
The authorized official title is President and has the following contact phone number (301) 902-1073.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 2/2/2021.

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	Primary
1	207U00000X	Nuclear Medicine		No
2	2085N0700X	Radiology	Neuroradiology	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	No
4	2085R0202X	Radiology	Diagnostic Radiology	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	DV0411	OTHER	DISTRICT OF COLUMBIA	RR MEDICARE
2	DV0409	OTHER	MARYLAND	RR MEDICARE
3	452303200	MEDICAID	MARYLAND
4	075528800	MEDICAID	DISTRICT OF COLUMBIA

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: 5/5/2024

NPI Synchronization or Removal

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