AVICENNA RADIOLOGY PARTNERS, PC
NPI 1295772945
Radiology - Diagnostic Radiology in Clinton, MD

Active since June 01, 2006
7503 SURRATTS RD, CLINTON, MD 20735(301) 877-4772(301) 868-7943 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avicenna Radiology Partners, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVICENNA RADIOLOGY PARTNERS, PC (NPI 1295772945) is a healthcare organization registered as a diagnostic radiology in Clinton, Maryland and active in the NPI registry since June 2006. The organization lists Mohamed Boukadoum, President, as its authorized official.

NPPES Registry Identity

NPI1295772945
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameAVICENNA RADIOLOGY PARTNERS, PC
Location Address7503 SURRATTS RDClinton, MD 20735-3358
Mailing Address1201 Seven Locks Rd, Suite 200Rockville, MD 20854-2931 · (301) 652-5771 · Fax (301) 652-6332
Fax(301) 868-7943
Organization SubpartNo
Authorized OfficialMohamed BoukadoumPresident · (301) 877-4772
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1295772945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7503 SURRATTS RD, Clinton, MD 20735

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Speech-Language Pathologist
7503 SURRATTS RD
CLINTON, MD 20735
Pediatrics
7503 SURRATTS RD
CLINTON, MD 20735
Obstetrics & Gynecology
7503 SURRATTS RD
CLINTON, MD 20735
Physician Assistant
7503 SURRATTS RD, EMERGENCY DEPT, MEDSTAR SOUTHERN MARYLAND HOSPITAL
CLINTON, MD 20735
Nurse Anesthetist, Certified Registered
7503 SURRATTS RD
CLINTON, MD 20735
Nurse Practitioner (Critical Care Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Hospitalist
7503 SURRATTS RD
CLINTON, MD 20735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avicenna Radiology Partners, PC's NPI number?

The NPI number for Avicenna Radiology Partners, PC is 1295772945. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Avicenna Radiology Partners, PC located?

Avicenna Radiology Partners, PC is located at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (301) 877-4772.

What is Avicenna Radiology Partners, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Avicenna Radiology Partners, PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.