St. Agnes Cardiac Diagnostic Center

LBN: Maiden Choice Cardiac Diagnostic Center
St. Agnes Cardiac Diagnostic Center is an health care organization with primary practice located at 724 Maiden Choice Ln Suite 203, Baltimore MD 21228-5911. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Maiden Choice Cardiac Diagnostic Center can be contacted via phone (410) 455-0200, or through Moghbeli, Homayoon via phone (410) 455-0200.

Contact Information

Primary practice address
724 Maiden Choice Ln Suite 203 Baltimore MD 21228-5911
Fax: (410) 455-0009
Website:
Authorized official contact:
Name: Moghbeli, Homayoon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1366491557
LBN Legal business name Maiden Choice Cardiac Diagnostic Center
DBA Doing business as St. Agnes Cardiac Diagnostic Center
Authorized official Moghbeli, Homayoon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Aug 18th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366491557 NPPES
Maryland MEDICAID 174680400

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