Provider Demographics
NPI:1376907170
Name:RADIOLOGY ASSOCIATES OF MARYLAND, LLC
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF MARYLAND, LLC
Other - Org Name:THE RADIOLOGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KETAN
Authorized Official - Middle Name:NALIN
Authorized Official - Last Name:NARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-217-0500
Mailing Address - Street 1:14995 SHADY GROVE RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-8726
Mailing Address - Country:US
Mailing Address - Phone:301-217-0500
Mailing Address - Fax:301-217-0501
Practice Address - Street 1:14995 SHADY GROVE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8726
Practice Address - Country:US
Practice Address - Phone:301-217-0500
Practice Address - Fax:301-217-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11581172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty