Provider Demographics
NPI:1013155654
Name:COMPREHENSIVE CARDIAC CARE PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE CARDIAC CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAROLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-237-0808
Mailing Address - Street 1:6000 EXECUTIVE BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-994-4350
Mailing Address - Fax:301-994-4351
Practice Address - Street 1:6000 EXECUTIVE BLVD STE 310
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3803
Practice Address - Country:US
Practice Address - Phone:301-994-4350
Practice Address - Fax:301-994-4351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD34087207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F92371Medicare UPIN