Provider Demographics
NPI:1114445558
Name:RELIANCE SURGICAL ASSISTING INC
Entity Type:Organization
Organization Name:RELIANCE SURGICAL ASSISTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NAUSHEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:404-488-3257
Mailing Address - Street 1:PO BOX 390111
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-0002
Mailing Address - Country:US
Mailing Address - Phone:404-488-3257
Mailing Address - Fax:770-972-8990
Practice Address - Street 1:3940 KITTERY PT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-3121
Practice Address - Country:US
Practice Address - Phone:404-488-3257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty