Provider Demographics
NPI:1316375884
Name:OXON HILL UROLOGY SURGERY CENTER PC
Entity Type:Organization
Organization Name:OXON HILL UROLOGY SURGERY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KHAWAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-839-0770
Mailing Address - Street 1:6228 OXON HILL RD
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3033
Mailing Address - Country:US
Mailing Address - Phone:301-839-0770
Mailing Address - Fax:301-839-1350
Practice Address - Street 1:6228 OXON HILL RD
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3033
Practice Address - Country:US
Practice Address - Phone:301-839-0770
Practice Address - Fax:301-839-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical