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Chronic Thromboembolic Pulmonary Hypertension (CTEPH)

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Symptoms and risk factors of this blood clot in the lungs

Expert Heart & Vascular Care

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Chronic thromboembolic pulmonary hypertension (CTEPH) is characterized by high blood pressure in the pulmonary arteries (the blood vessels in the lungs) that lasts six months or longer. It’s a rare type of pulmonary hypertension in which a blood clot in the lung, known as a pulmonary embolism, forms scar-like tissue and blocks blood flow.

This blood clot increases pressure in the pulmonary arteries and strains the right side of the heart, which becomes overworked and enlarged. If left untreated, CTEPH can lead to heart failure.

However, if caught early, it may be managed with medication or cured with a surgery called pulmonary thromboendarterectomy (PTE). The specialists in our Pulmonary Hypertension Clinic will work with you to develop an effective treatment plan.

What are the symptoms of CTEPH?

CTEPH symptoms are similar to those of asthma, chronic obstructive pulmonary disease (COPD) and heart failure.

Some symptoms you may experience if you have CTEPH include:

  • Chest pain
  • Coughing up blood
  • Fatigue
  • Shortness of breath, lightheadedness or fainting with physical activity

What are the risk factors for CTEPH?

A pulmonary embolism can trigger CTEPH. Up to 1 in 25 people who have had a pulmonary embolism—even those who were treated with blood thinners—develop CTEPH. Having multiple pulmonary embolisms can increase your CTEPH risk.

Certain medical conditions can increase your risk as well, such as:

  • Blood clotting disorders
  • Having had your spleen removed
  • Chronic inflammatory conditions such as inflammatory bowel disease
  • Cancer
  • Infected pacemaker or defibrillator wire

Tests

Angiogram (Angiography)

An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.

Cardiac Catheterization

Cardiac catheterization is a minimally invasive way to diagnose and treat a variety of heart and vascular conditions by guiding thin, flexible tubes called catheters through blood vessels to problem areas.

Chest X-ray

Chest X-rays use a small dose of radiation to create pictures of the structures inside the chest, including the lungs, heart and chest wall.

Computerized Tomography (CT) Scan

The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.

Echocardiogram

An echocardiogram uses high-frequency sound waves to create images of your heart.

Treatments

Our heart and vascular teams work together and with other specialties to develop and implement individualized plans to treat a wide variety of conditions. This could include medication or more advanced treatments.

For a list of MedStar Health pulmonology specialists, click here.

Physicians

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86 Doctors & Specialists
Dr. Stuart D. Gould, MD
Dr. Stuart D. Gould, MD
Cardiology
(514)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
301-570-7404
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Dr. Kabir Yousuf, MD
Dr. Kabir Yousuf, MD
Cardiology
24035 Three Notch Road Hollywood, MD 20636
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Dr. Jared Michael Widell, MD
Dr. Jared Michael Widell, MD
Cardiology | Cardiac Imaging
5601 Loch Raven Boulevard Building 2 Baltimore, MD 21239
(202) 877-6264 or (202) 444-8833
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Dr. Miriam L. Cohen, MD
Dr. Miriam L. Cohen, MD
Cardiology
(389)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. Meena V. Shah, MD
Dr. Meena V. Shah, MD
Cardiology
(454)
130 Hospital Road Suite 300 Prince Frederick, MD 20678
(410) 535-4333
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Dr. Anil K. Shah, MD
Dr. Anil K. Shah, MD
Cardiology
(380)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Micheas Zemedkun, MD
Dr. Micheas Zemedkun, MD
Cardiology
(196)
1133 21st Street Northwest Building 2 – 7th Floor Washington, DC 20036
202-877-5800
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Dr. Barbara Louise Bean, MD
Dr. Barbara Louise Bean, MD
Cardiology
(475)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Ebony Rebecca Alston, MD
Dr. Ebony Rebecca Alston, MD
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Rahul Anand, MD
Dr. Rahul Anand, MD
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Raymond K. Young, II, MD
Dr. Raymond K. Young, II, MD
Cardiology
(170)
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
443-444-4700
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Dr. Andrew Weidner Ertel, MD
Dr. Andrew Weidner Ertel, MD
Valvular Disease Cardiology | Cardiology | Structural Heart Disease Cardiology | Cardiac Imaging
(137)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Hitesh Chawla, MD
Dr. Hitesh Chawla, MD
Cardiology
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
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Dr. Mouin S. Abdallah, MD
Dr. Mouin S. Abdallah, MD
Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
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Dr. Adinath A. Patil, MD
Dr. Adinath A. Patil, MD
Cardiology
(270)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Jonathan E. Patrick, MD
Dr. Jonathan E. Patrick, MD
Cardiology
(155)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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Dr. Reed M. Shnider, MD
Dr. Reed M. Shnider, MD
Cardiology
(597)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Stuart Floyd Seides, MD
Dr. Stuart Floyd Seides, MD
Cardiology
106 Irving Street Northwest Suite 4800N Washington, DC 20010
202-416-2000
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Dr. Rahul Malik, MD
Dr. Rahul Malik, MD
Cardiology
(238)
23507 Hollywood Road Suite 2 Leonardtown, MD 20650
(301) 782-2220
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Dr. Allison Christine Warren, MD
Dr. Allison Christine Warren, MD
Cardiology
(358)
106 Irving Street Northwest Suite 4800 Washington, DC 20010
(202) 416-2000
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Dr. Estelle Darlyse Jean, MD
Dr. Estelle Darlyse Jean, MD
Cardiology
(491)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Stephanie Schwalm Jacobs, MD
Dr. Stephanie Schwalm Jacobs, MD
Cardiology
(449)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Jeffrey Bruce Trabb, MD
Dr. Jeffrey Bruce Trabb, MD
Cardiology
(541)
23507 Hollywood Road Suite 2 Leonardtown, MD 20650
(301) 782-2220
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Dr. Dawn Warner Kershner, DO
Dr. Dawn Warner Kershner, DO
Cardiology
(491)
1420 Key Highway Baltimore, MD 21230
(410) 366-5600
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Dr. Louis K. Essandoh, MD
Dr. Louis K. Essandoh, MD
Cardiology
(511)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Patrick T. Bering, MD
Dr. Patrick T. Bering, MD
Cardiology | Cardiac Imaging
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Lawrence D. Jacobs, MD
Dr. Lawrence D. Jacobs, MD
Cardiology
(616)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Robert A. Lager, MD
Dr. Robert A. Lager, MD
Cardiology
(348)
1133 21st Street Northwest Suite 700 Washington, DC 20036
202-416-2000
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Dr. Nicholas Paivanas, MD
Dr. Nicholas Paivanas, MD
Cardiology
(335)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
410-573-6480
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Dr. Monvadi B. Srichai-Parsia, MD
Dr. Monvadi B. Srichai-Parsia, MD
Cardiology
(216)
3800 Reservoir Road Northwest Pasquerilla Healthcare Center, 5th Floor Washington, DC 20007
(202) 444-5111
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Dr. Bryan LeBude, MD
Dr. Bryan LeBude, MD
Cardiology
(220)
12070 Old Line Center Suite 202 Waldorf, MD 20602
301-292-7270
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Dr. Basirmohmad F. Kolia, MD
Dr. Basirmohmad F. Kolia, MD
Cardiology
(347)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 856-2620
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Dr. Jeffrey Jay Brown, MD
Dr. Jeffrey Jay Brown, MD
Cardiology
(481)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Anjili Srivastava, DO
Dr. Anjili Srivastava, DO
Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
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Dr. Harjit K. Chahal, MD
Dr. Harjit K. Chahal, MD
Cardiology
(268)
1133 21st Street Northwest Suite 7000 Washington, DC 20036
(202) 416-2000
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Dr. Gaby Weissman, MD
Dr. Gaby Weissman, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Imaging
(86)
110 Irving Street Northwest Department of Cardiology Suite 6015 Washington, DC 20010
(202) 877-7777
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Dr. Preetham N. Kumar, MD
Dr. Preetham N. Kumar, MD
Cardiology | Cardiac Imaging
(89)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Allen J. Taylor, MD
Dr. Allen J. Taylor, MD
Cardiology
(135)
3800 Reservoir Road Northwest Building 5 Washington, DC 20007
(202) 444-5111
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Dr. Reginald LaMar Robinson, MD
Dr. Reginald LaMar Robinson, MD
Cardiology
(459)
106 Irving Street Northwest North Tower Suite 4800 Washington, DC 20010
(202) 877-5800
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Dr. Mansoor Mozayan, MD
Dr. Mansoor Mozayan, MD
Cardiology
(320)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Kenneth M. Lee, MD
Dr. Kenneth M. Lee, MD
Cardiology
(509)
1133 21st Street Northwest 700 Washington, DC 20036
(202) 416-2000
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Dr. Oluseyi Omole Princewill, MD, MPH
Dr. Oluseyi Omole Princewill, MD, MPH
Cardiology
(348)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Valeriani R. Bead, MD
Dr. Valeriani R. Bead, MD
Cardiology
(671)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Ankit B. Shah, MD, MPH
Dr. Ankit B. Shah, MD, MPH
Cardiology
(132)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Deidra L. Varner, MD
Dr. Deidra L. Varner, MD
Cardiology
11701 Livingston Road Suite 203 Fort Washington, MD 20744
(301) 292-7270
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Dr. Kelley W. Sullivan, MD
Dr. Kelley W. Sullivan, MD
Cardiology
(510)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Michael Benjamin Lee, MD
Dr. Michael Benjamin Lee, MD
Cardiology
(426)
18101 Prince Philip Drive Floor 4 Olney, MD 20832
(202) 416-2000
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Dr. Conor Francis Lundergan, MD
Dr. Conor Francis Lundergan, MD
Cardiology
(576)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Kerunne S. Ketlogetswe, MD
Dr. Kerunne S. Ketlogetswe, MD
Cardiology
(222)
3001 South Hanover Street Outpatient Center Floor 2 Baltimore, MD 21225
(410) 350-2106
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Dr. Bhavin Mahesh Patel, DO
Dr. Bhavin Mahesh Patel, DO
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Abdelrahman Abdallah A Aly, MD
Dr. Abdelrahman Abdallah A Aly, MD
Cardiology
23507 Hollywood Road Suite 2 Leonardtown, MD 20650
(301) 782-2220
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Dr. Jennifer Rebecca Brown, MD
Dr. Jennifer Rebecca Brown, MD
Heart Failure and Transplantation Cardiology | Cardiology
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Christy Leigh Kaiser, MD
Dr. Christy Leigh Kaiser, MD
Cardiology
(201)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Christopher F. Barnett, MD
Dr. Christopher F. Barnett, MD
Cardiology | Cardiac Critical Care | Pulmonary Hypertension
(124)
110 Irving Street Northwest Suite NW Washington, DC 20010
202-877-2339
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Dr. Terrance Andrew Collins, MD
Dr. Terrance Andrew Collins, MD
Cardiology
(495)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Anil Pandit, MD
Dr. Anil Pandit, MD
Cardiology
12 Medstar Boulevard Bel Air, MD 21015
410-574-1330
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Dr. John J. Kennedy, MD
Dr. John J. Kennedy, MD
Cardiology
(641)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Etonde Mafany Musonge-Tarkang, MD
Dr. Etonde Mafany Musonge-Tarkang, MD
Cardiology
110 Irving Street Northwest Room 4B-1 Washington, DC 20010
(202) 877-2181
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Dr. Richard Ira Weinstein, MD
Dr. Richard Ira Weinstein, MD
Cardiology
18109 Prince Philip Drive Suite 125 Olney, MD 20832
301-570-7404
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Dr. Carolina Isabel Valdiviezo Schlomp, MD
Dr. Carolina Isabel Valdiviezo Schlomp, MD
Cardiology
(205)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Nanette H. Bishopric, MD
Dr. Nanette H. Bishopric, MD
Cardiology
3800 Reservoir Road Northwest Washington, DC 20007
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Dr. Amish V. Shah, MD
Dr. Amish V. Shah, MD
Cardiology
(402)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Satish N. Jumani, MD
Dr. Satish N. Jumani, MD
Cardiology
(366)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 705-7870
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Dr. George Dewey Bittar, MD
Dr. George Dewey Bittar, MD
Cardiology
(301)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. William Guy Weigold, III, MD
Dr. William Guy Weigold, III, MD
Cardiology
(76)
110 Irving Street Northwest Suite NW Washington, DC 20010
202-877-7777
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Dr. Alexander Ryzhikov, MD
Dr. Alexander Ryzhikov, MD
Cardiology
(446)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 705-7870
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Dr. Raktim Kumar Ghosh, MD
Dr. Raktim Kumar Ghosh, MD
Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-574-1330
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Dr. Orest B. Bartoszyk, MD
Dr. Orest B. Bartoszyk, MD
Cardiology
(462)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Richard L. Morrissey, MD
Dr. Richard L. Morrissey, MD
Cardiology
(342)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. John Frank Marra, MD
Dr. John Frank Marra, MD
Cardiology
(357)
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
(443) 444-4700
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Dr. Daniel James Dooley, MD
Dr. Daniel James Dooley, MD
Cardiology
1630 Main Street Suite 208 Chester, MD 21619
(410) 573-6480
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Dr. Ronak K. Patel, MD
Dr. Ronak K. Patel, MD
Cardiology
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
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Dr. Michael Fiocco, MD
Dr. Michael Fiocco, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Surgery
(158)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-6550
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Dr. Rodney Arthur Johnson, MD
Dr. Rodney Arthur Johnson, MD
Cardiology
(453)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Jose D. Vargas, MD
Dr. Jose D. Vargas, MD
Cardiology
(231)
3800 Reservoir Road Northwest Building 5 Washington, DC 20007
(202) 444-5111
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Dr. Edward Ian Morris, MD
Dr. Edward Ian Morris, MD
Cardiology
(517)
106 Irving Street Northwest North Tower, Suite 4800 Washington, DC 20010
(202) 877-5800
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Dr. Sriram Padmanabhan, MD
Dr. Sriram Padmanabhan, MD
Cardiology
(459)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Sumbal Ashraf Janjua, MD
Dr. Sumbal Ashraf Janjua, MD
Cardiology
9000 Franklin Square Drive MedStar Franklin Square Medical Center Baltimore, MD 21237
(202) 877-7777
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Dr. Jonathan A. Altschuler, MD
Dr. Jonathan A. Altschuler, MD
Cardiology
(483)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Roquell E. Wyche, MD
Dr. Roquell E. Wyche, MD
Cardiology
12070 Old Line Center Suite 303 Waldorf, MD 20602
(202) 499-6999
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Dr. Benjamin Irving Lee, MD
Dr. Benjamin Irving Lee, MD
Cardiology
(400)
1133 21st Street Northwest Suite 700 Washington, DC 20036
(202) 416-2000
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Dr. William Clarence Maxted, Jr., MD
Dr. William Clarence Maxted, Jr., MD
Cardiology
(466)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Andrew Y. Chen, MD
Dr. Andrew Y. Chen, MD
Cardiology | Cardiac Imaging
110 Irving Street Northwest Room 1105 Washington, DC 20010
(202) 877-7777
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Dr. John Clayton Patterson, MD
Dr. John Clayton Patterson, MD
Cardiology
(169)
10403 Hospital Drive Suite 102 Clinton, MD 20735
(301) 292-7270
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Dr. David A. Goldscher, MD
Dr. David A. Goldscher, MD
Cardiology
(400)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Marc A. Mugmon, MD
Dr. Marc A. Mugmon, MD
Cardiology
(456)
200 East 33rd Street Suite 329 Baltimore, MD 21218
(410) 366-5600
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