WHITE SQUARE VASCULAR SURGERY PA – NPI #1750133104
Surgery

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

WHITE SQUARE VASCULAR SURGERY PA is a surgeon located in ROSEDALE, MD. NPPES has assigned the NPI number 1750133104 to WHITE SQUARE VASCULAR SURGERY PA on April 01, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. 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 WHITE SQUARE VASCULAR SURGERY PA below.

NPI Profile for
WHITE SQUARE VASCULAR SURGERY PA

NPI Number
1750133104
Enumeration Date

(more than 2 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
WHITE SQUARE VASCULAR SURGERY PA
Primary location
5233 KING AVE STE 208
ROSEDALE, MD 21237-4003
Phone: (410) 918-1525 Fax:
3 Other location(s):
602 S Atwood Rd Ste 201
Bel Air, MD 21014-4396
Phone: (410) 918-1525
2324 W Joppa Rd Ste 100
Lutherville, MD 21093-4617
Phone: (410) 583-5444
8817 Belair Rd Ste 109
Nottingham, MD 21236-2445
Phone: (410) 870-3325
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NBIAL ABU-GHAIDA
PRACTICE MANAGER
Phone: (410) 918-1525
Updated
Certification Date
Apr 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.