Provider Demographics
NPI:1942513163
Name:THE GEORGE WASHINGTON CARDIAC SURGICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:THE GEORGE WASHINGTON CARDIAC SURGICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-775-8600
Mailing Address - Street 1:2175 K ST NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1831
Mailing Address - Country:US
Mailing Address - Phone:202-775-8600
Mailing Address - Fax:202-775-1599
Practice Address - Street 1:2175 K ST NW
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1831
Practice Address - Country:US
Practice Address - Phone:202-775-8600
Practice Address - Fax:202-775-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC=========OtherTAXPAYER IDENTIFICATION