Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heart Center of Southern Maryland

Organization Physician Assistant · NPI 1568917383

Heart Center of Southern Maryland is a Physician Assistant in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

3510 Old Washington Rd Ste 100
Waldorf, MD 20602-3233
Phone: (301) 645-4793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MD)

Record details

NPI number1568917383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gopalakrishnan Srinivasan — Ceo · (301) 645-4793
NPI enumeratedAugust 22, 2016
Last updated in NPPESAugust 22, 2016
Mailing address3510 Old Washington Rd, Suite 100, Waldorf, MD 20602-3233

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