MARYLAND TELERAD LLC NPI 1497068241

NPI Information

  • NPI: 1497068241
  • Provider Name: MARYLAND TELERAD, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 10425 OVERGATE PL
    POTOMAC, MD
    ZIP 20854
  • Phone: (214) 712-2074

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NPI Details

MARYLAND TELERAD, LLC is a diagnostic radiology radiology in Potomac, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MARYLAND TELERAD, LLC NPI is 1497068241. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10425 OVERGATE PL
POTOMAC, MD
ZIP 20854-415
Phone: (214) 712-2074
Fax: (214) 712-2487

The provider's authorized official is Philip Heckendorn .
The authorized official title is Executive Vice President and has the following contact phone number (214) 712-2074.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/24/2012.

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
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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