NPI 1972748192

Suburban Nephrology Associates LLC

Organisation Specialist Glenn Dale, MD

Practice location

Address: 12200 Annapolis Rd STE 233, Glenn Dale, MD 20769-9182
Phone: (240) 965-7955
Fax: (301) 699-1703
Mailing address: 4404 Queensbury Road Suite #100, Riverdale, MD 20737

Authorised official

Name: Babak Razi
Title: Owner
Phone: (240) 965-7955

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1972748192
Entity type: Organization
NPI issued: 3 Dec 2008
Record last updated: 6 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.