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High Cholesterol

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How we measure and treat this common condition

Expert Heart & Vascular Care

Getting the care you need starts with seeing one of our heart or vascular specialists.

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Cholesterol is a type of fat in your blood that the body needs to build cells. However, when there is too much cholesterol in your blood, it can build up in the walls of the arteries. This can cause the arteries to harden and narrow, known as atherosclerosis, making it difficult for blood to flow through the body.

High cholesterol, also known as hypercholesterolemia, by itself does not cause symptoms, so you may not know your cholesterol is high. But if the artery becomes completely blocked, it can result in a heart attack or stroke.

In rare cases, high cholesterol can be caused by an inherited genetic mutation (familial hypercholesterolemia), but more often, it’s the result of unhealthy lifestyle choices.

Tests

We measure cholesterol with a simple blood test done after a nine- to 12-hour fast. The test tells us about your:

  • Total cholesterol
  • LDL (bad) cholesterol, the main source of blockage in the arteries
  • HDL (good) cholesterol, which helps keep cholesterol from building up and protects against heart disease
  • Triglycerides, another type of fat in your blood

Cholesterol is measured in milligrams (mg) of cholesterol per deciliter (dL) of blood. Optimal levels for people without other health conditions are:

  • Total cholesterol: Less than 200 mg/dL
  • LDL (bad) cholesterol: Less than 100 mg/dL
  • HDL (good) cholesterol: Above 60 mg/dL
  • Triglycerides: Less than 100 mg/dL

FAQ's

Good Cholesterol vs. Bad Cholesterol

Q1: What do the numbers mean?

Your cholesterol check is made up of four numbers that create your lipid profile

  • Main number: measures all the cholesterol in your blood
  • LDL (low-density lipoproteins): “bad cholesterol” forms clots in the artery wall
  • HDL (high-density lipoproteins): “good cholesterol” works as the helper cholesterol and scavengers bad cholesterol from your blood
  • Triglycerides: fat found in the body

Q2: What is considered high cholesterol?

A cholesterol level over 200 is elevated and considered borderline, above 240 exceedingly high cholesterol. Total cholesterol should be below 200, a good cholesterol level between 100 to130 is recommended.

Q3: What causes high cholesterol?

  • Genetic predisposition (how your body makes and clears LDL)
  • Genetic factors reduce the amounts of good cholesterol
  • Consuming a diet high in saturated fats (butter, oils) and trans fats (processed and packaged foods)

Q4: How do you manage high cholesterol?

Change your lifestyle through:

  • Diet: Reduce intake of saturated fats (found in animal products, meat, butter, full fat dairy products like cheese), avoid trans fats (found in processed and packaged foods). It is better to consume Omega fatty acids (fatty fish like salmon) to help lower triglycerides
  • Exercise
  • Quit smoking
  • Maintain a healthy weight (BMI lower than 30)

Q5: How often should you check your cholesterol?

Starting at age 18, it is recommended to have it checked every five years. If there is an abnormal panel or genetic risk, check it more frequently.

Q6: What are the risk factors for high cholesterol?

  • Sedentary lifestyle (not active)
  • Foods high in cholesterol (saturated fats and trans fats)
  • Smoking
  • Obesity
  • Genetic predispositions

Treatments

Making healthy lifestyle changes often is the first line of defense against high cholesterol. This can include:

  • Eating a heart-healthy diet
  • Exercising regularly
  • Maintaining a healthy weight

If making these lifestyle changes isn’t enough to lower your cholesterol, your doctor may recommend medication, such as statins, bile acid sequestrants or cholesterol absorption inhibitors.

Physicians

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89 Doctors & Specialists
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. 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. Anil Pandit, MD
Dr. Anil Pandit, MD
Cardiology
12 Medstar Boulevard Bel Air, MD 21015
410-574-1330
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Dr. Kelley W. Sullivan, MD
Dr. Kelley W. Sullivan, MD
Cardiology
(530)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Basirmohmad F. Kolia, MD
Dr. Basirmohmad F. Kolia, MD
Cardiology
(363)
12070 Old Line Center Suite 202 Waldorf, MD 20602
240-244-5151
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Dr. Terrance Andrew Collins, MD
Dr. Terrance Andrew Collins, MD
Cardiology
(504)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Christy Leigh Kaiser, MD
Dr. Christy Leigh Kaiser, MD
Cardiology
(203)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Kenneth M. Lee, MD
Dr. Kenneth M. Lee, MD
Cardiology
(517)
1133 21st Street Northwest 700 Washington, DC 20036
(202) 416-2000
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Dr. John J. Kennedy, MD
Dr. John J. Kennedy, MD
Cardiology
(680)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Bryan LeBude, MD
Dr. Bryan LeBude, MD
Cardiology
(231)
12070 Old Line Center Suite 202 Waldorf, MD 20602
301-292-7270
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Dr. Orest B. Bartoszyk, MD
Dr. Orest B. Bartoszyk, MD
Cardiology
(479)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Raymond K. Young, II, MD
Dr. Raymond K. Young, II, MD
Cardiology
(182)
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
443-444-4700
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Dr. George Dewey Bittar, MD
Dr. George Dewey Bittar, MD
Cardiology
(307)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. Michael Benjamin Lee, MD
Dr. Michael Benjamin Lee, MD
Cardiology
(441)
18101 Prince Philip Drive Floor 4 Olney, MD 20832
(202) 416-2000
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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. Hitesh Chawla, MD
Dr. Hitesh Chawla, MD
Cardiology
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
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Dr. Valeriani R. Bead, MD
Dr. Valeriani R. Bead, MD
Cardiology
(702)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Benjamin Irving Lee, MD
Dr. Benjamin Irving Lee, MD
Cardiology
(403)
1133 21st Street Northwest Suite 700 Washington, DC 20036
(202) 416-2000
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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. Rachel Marcus, MD
Dr. Rachel Marcus, MD
Cardiology
201 East University Parkway Baltimore, MD 21218
410-554-2330
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Dr. Jeffrey Jay Brown, MD
Dr. Jeffrey Jay Brown, MD
Cardiology
(496)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Reginald LaMar Robinson, MD
Dr. Reginald LaMar Robinson, MD
Cardiology
(476)
106 Irving Street Northwest North Tower Suite 4800 Washington, DC 20010
(202) 877-5800
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Dr. Conor Francis Lundergan, MD
Dr. Conor Francis Lundergan, MD
Cardiology
(594)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Andrew Weidner Ertel, MD
Dr. Andrew Weidner Ertel, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Imaging | Cardiology
(137)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Carolina Isabel Valdiviezo Schlomp, MD
Dr. Carolina Isabel Valdiviezo Schlomp, MD
Cardiology
(206)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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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. Jared Michael Widell, MD
Dr. Jared Michael Widell, MD
Cardiac Imaging | Cardiology
5601 Loch Raven Boulevard Building 2 Baltimore, MD 21239
(202) 877-6264 or (202) 444-8833
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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. Harjit K. Chahal, MD
Dr. Harjit K. Chahal, MD
Cardiology
(279)
1133 21st Street Northwest Suite 7000 Washington, DC 20036
(202) 416-2000
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Dr. Micheas Zemedkun, MD
Dr. Micheas Zemedkun, MD
Cardiology
(211)
1133 21st Street Northwest Building 2 – 7th Floor Washington, DC 20036
202-877-5800
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Dr. Alexander Ryzhikov, MD
Dr. Alexander Ryzhikov, MD
Cardiology
(472)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 705-7870
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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. Raktim Kumar Ghosh, MD
Dr. Raktim Kumar Ghosh, MD
Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. Tolulope Adesiyun Agunbiade, MD
Dr. Tolulope Adesiyun Agunbiade, MD
Heart Failure and Transplantation Cardiology | Cardio-Oncology
3001 South Hanover Street Baltimore, MD 21225
(410) 554-6550
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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. Gaby Weissman, MD
Dr. Gaby Weissman, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Imaging
(87)
110 Irving Street Northwest Department of Cardiology Suite 6015 Washington, DC 20010
(202) 877-7777
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Dr. Barbara Louise Bean, MD
Dr. Barbara Louise Bean, MD
Cardiology
(483)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Preetham N. Kumar, MD
Dr. Preetham N. Kumar, MD
Cardiac Imaging | Cardiology
(89)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Anil K. Shah, MD
Dr. Anil K. Shah, MD
Cardiology
(409)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Estelle Darlyse Jean, MD
Dr. Estelle Darlyse Jean, MD
Cardiology
(506)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Amish V. Shah, MD
Dr. Amish V. Shah, MD
Cardiology
(430)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Nicholas Paivanas, MD
Dr. Nicholas Paivanas, MD
Cardiology
(354)
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
(219)
3800 Reservoir Road Northwest Pasquerilla Healthcare Center, 5th Floor Washington, DC 20007
(202) 444-5111
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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. Edward Ian Morris, MD
Dr. Edward Ian Morris, MD
Cardiology
(547)
106 Irving Street Northwest North Tower, Suite 4800 Washington, DC 20010
(202) 877-5800
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Dr. Jonathan A. Altschuler, MD
Dr. Jonathan A. Altschuler, MD
Cardiology
(506)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(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
410-366-5600
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Dr. Anjili Srivastava, DO
Dr. Anjili Srivastava, DO
Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. Mansoor Mozayan, MD
Dr. Mansoor Mozayan, MD
Cardiology
(336)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Allison Christine Warren, MD
Dr. Allison Christine Warren, MD
Cardiology
(369)
106 Irving Street Northwest Suite 4800 Washington, DC 20010
(202) 416-2000
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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. 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. Federico Miguel Asch, MD
Dr. Federico Miguel Asch, MD
Cardiac Imaging
110 Irving Street Northwest Room 4B-42 Washington, DC 20010
(202) 877-4616
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Dr. Sriram Padmanabhan, MD
Dr. Sriram Padmanabhan, MD
Cardiology
(468)
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. Allen J. Taylor, MD
Dr. Allen J. Taylor, MD
Cardiology
(136)
110 Irving Street Northwest MHVI-1st Floor North Addition Washington, DC 20010
(202) 444-5111
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Dr. William Guy Weigold, III, MD
Dr. William Guy Weigold, III, MD
Cardiology
(80)
110 Irving Street Northwest Suite NW Washington, DC 20010
202-877-7777
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Dr. Oluseyi Omole Princewill, MD, MPH
Dr. Oluseyi Omole Princewill, MD, MPH
Cardiology
(362)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Satish N. Jumani, MD
Dr. Satish N. Jumani, MD
Cardiology
(384)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 705-7870
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Dr. Ankit B. Shah, MD, MPH
Dr. Ankit B. Shah, MD, MPH
Cardiology
(139)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Stephanie Schwalm Jacobs, MD
Dr. Stephanie Schwalm Jacobs, MD
Cardiology
(459)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Louis K. Essandoh, MD
Dr. Louis K. Essandoh, MD
Cardiology
(530)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Margaret B. Fischer, MD
Dr. Margaret B. Fischer, MD
Adult Congenital Cardiac Disease | Electrophysiology
(334)
3020 Hamaker Court Suite 502 Fairfax, VA 22031
(703) 208-7257
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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. Lawrence D. Jacobs, MD
Dr. Lawrence D. Jacobs, MD
Cardiology
(645)
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
Cardiac Imaging | Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. John Frank Marra, MD
Dr. John Frank Marra, MD
Cardiology
(360)
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
(443) 444-4700
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Dr. Miriam L. Cohen, MD
Dr. Miriam L. Cohen, MD
Cardiology
(394)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. Stuart D. Gould, MD
Dr. Stuart D. Gould, MD
Cardiology
(538)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
301-570-7404
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Dr. Sumbal Ashraf Janjua, MD
Dr. Sumbal Ashraf Janjua, MD
Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Ana Barac, MD
Dr. Ana Barac, MD
Cardio-Oncology
(209)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Rodney Arthur Johnson, MD
Dr. Rodney Arthur Johnson, MD
Cardiology
(466)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Richard L. Morrissey, MD
Dr. Richard L. Morrissey, MD
Cardiology
(346)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Dawn Warner Kershner, DO
Dr. Dawn Warner Kershner, DO
Cardiology
(502)
1420 Key Highway Baltimore, MD 21230
(410) 366-5600
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Dr. Stuart F. Seides, MD
Dr. Stuart F. Seides, MD
Cardiology
106 Irving Street Northwest Suite 4800N Washington, DC 20010
202-416-2000
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Dr. Jeffrey Bruce Trabb, MD
Dr. Jeffrey Bruce Trabb, MD
Cardiology
(546)
23507 Hollywood Road Suite 2 Leonardtown, MD 20650
(301) 782-2220
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Dr. Reed M. Shnider, MD
Dr. Reed M. Shnider, MD
Cardiology
(630)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Rahul Malik, MD
Dr. Rahul Malik, MD
Cardiology
(241)
23507 Hollywood Road Suite 2 Leonardtown, MD 20650
(301) 782-2220
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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. Kabir Ahmed Yousuf, MD
Dr. Kabir Ahmed Yousuf, MD
Cardiology
24035 Three Notch Road Hollywood, MD 20636
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Dr. Robert A. Lager, MD
Dr. Robert A. Lager, MD
Cardiology
(354)
1133 21st Street Northwest Suite 700 Washington, DC 20036
202-416-2000
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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. 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. Adinath A. Patil, MD
Dr. Adinath A. Patil, MD
Cardiology
(286)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Kerunne S. Ketlogetswe, MD
Dr. Kerunne S. Ketlogetswe, MD
Cardiology
(230)
3001 South Hanover Street Outpatient Center Floor 2 Baltimore, MD 21225
(410) 350-2106
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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. Marc A. Mugmon, MD
Dr. Marc A. Mugmon, MD
Cardiology
(459)
200 East 33rd Street Suite 329 Baltimore, MD 21218
(410) 366-5600
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Dr. David A. Goldscher, MD
Dr. David A. Goldscher, MD
Cardiology
(400)
200 East 33rd Street Suite 329 Baltimore, MD 21218
(410) 366-5600
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Dr. William Clarence Maxted, Jr., MD
Dr. William Clarence Maxted, Jr., MD
Cardiology
(480)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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