AVICENNA RADIOLOGY PARTNERS, PC – NPI #1295772945
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

AVICENNA RADIOLOGY PARTNERS, PC is a radiologist located in CLINTON, MD. NPPES has assigned the NPI number 1295772945 to AVICENNA RADIOLOGY PARTNERS, PC on June 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVICENNA RADIOLOGY PARTNERS, PC below.

NPI Profile for
AVICENNA RADIOLOGY PARTNERS, PC

NPI Number
1295772945
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVICENNA RADIOLOGY PARTNERS, PC
Primary location
7503 SURRATTS RD
CLINTON, MD 20735-3358
Phone: (301) 877-4772 Fax: (301) 868-7943
Mailing address
1201 SEVEN LOCKS RD
SUITE 200
ROCKVILLE, MD 20854-2931
Phone: (301) 652-5771 Fax: (301) 652-6332
Organization Subpart
No
Authorized Official
MOHAMED BOUKADOUM
PRESIDENT
Phone: (301) 877-4772
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.