Provider Demographics
NPI:1376593756
Name:WASHINGTON CARDIOLOGY CENTER
Entity Type:Organization
Organization Name:WASHINGTON CARDIOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, INTERVENTIONAL CARDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:F
Authorized Official - Last Name:SATLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-877-2700
Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:ROOM # 4B-1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2976
Mailing Address - Country:US
Mailing Address - Phone:202-877-2700
Mailing Address - Fax:202-877-2718
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:ROOM # 4B-1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-877-2700
Practice Address - Fax:202-877-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC060008978OtherRAILROAD MEDICARE
MD552331100Medicaid
DC025214700Medicaid
DC025214700Medicaid