PREMIER VASCULAR CENTER OF MARYLAND LLC – NPI #1104335439
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

PREMIER VASCULAR CENTER OF MARYLAND LLC is a surgeon located in TOWSON, MD. NPPES has assigned the NPI number 1104335439 to PREMIER VASCULAR CENTER OF MARYLAND LLC on September 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

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 PREMIER VASCULAR CENTER OF MARYLAND LLC below.

NPI Profile for
PREMIER VASCULAR CENTER OF MARYLAND LLC

NPI Number
1104335439
Enumeration Date

(more than 8 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
PREMIER VASCULAR CENTER OF MARYLAND LLC
Primary location
7801 YORK ROAD
SUITE 240
TOWSON, MD 21286
Phone: (410) 323-9214 Fax: (410) 323-9215
Mailing address
1900 E NORTHERN PKWY STE 209
BALTIMORE, MD 21239-2110
Phone: (410) 323-9214 Fax: (410) 323-9215
Organization Subpart
No
Authorized Official
MOUHAMAD ANNOUS
PRESIDENT
Phone: (410) 323-9214
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
2086S0129X
- Surgery / Vascular Surgery (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.