White Square Vascular Surgery Pa in Baltimore - Vascular Surgery
White Square Vascular Surgery Pa - NPI 1285666008
White Square Vascular Surgery Pa is a Vascular Surgery in Baltimore, Maryland. White Square Vascular Surgery Pa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for White Square Vascular Surgery Pa is 1285666008. The last update date is 2022-01-21.
White Square Vascular Surgery Pa's current location address is 5233 King Ave, Baltimore, Maryland. You can contact this provider via phone number 4109181525 and fax number 4109181526. The mailing address for White Square Vascular Surgery Pa is 5233 King Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | White Square Vascular Surgery Pa |
|---|---|
| Address | 5233 King Ave, Baltimore, Maryland |
| Phone Number | 4109181525 |
| Fax Number | 4109181526 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Abu-Ghaida Ahmad |
| Credentials | M.D. |
| Telephone Number | 4109181525 |
NPI Number Detail
| NPI Number | 1285666008 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2022-01-21 |
Provider Mailing Address Detail
| Address | 5233 King Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212374003 |
| Phone Number | 4109181525 |
| Fax Number | 4109181526 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 462105100 | MD | MEDICAL ASSISTANCE | |
| DF0610 | GA | RAILROAD MEDICARE | |
| 4490 | DC | CAREFIRST DC | |
| 09QSAM | MD | CAREFIRST MD |
Post Comment/ Review Below
What is the White Square Vascular Surgery Pa's unique identification number?
The White Square Vascular Surgery Pa has been assigned the NPI (National Provider Identifier) Number 1285666008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where White Square Vascular Surgery Pa's facilities are geographically located?
The facilities of White Square Vascular Surgery Pa are physically situated at the following location: 5233 King Ave, Baltimore, MD, 212374003.
What is the White Square Vascular Surgery Pa's area of specialization and corresponding taxonomy classification?
The White Square Vascular Surgery Pa's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1285666008 to White Square Vascular Surgery Pa?
The Centers for Medicare & Medicaid Services assigned the 1285666008 to White Square Vascular Surgery Pa on 2006-07-06.
When was the information regarding White Square Vascular Surgery Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to White Square Vascular Surgery Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-21.