Provider Demographics
NPI:1942176342
Name:SUMMIT CARDIOVASCULAR CARE, LLC
Entity type:Organization
Organization Name:SUMMIT CARDIOVASCULAR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-558-3839
Mailing Address - Street 1:5505 GOLDEN EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-6751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5505 GOLDEN EAGLE RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-6751
Practice Address - Country:US
Practice Address - Phone:301-558-3839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty