Provider Demographics
NPI:1356646525
Name:TAUFEEQ SURGERY CENTER
Entity Type:Organization
Organization Name:TAUFEEQ SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLA
Authorized Official - Middle Name:BASHIR
Authorized Official - Last Name:TAUFEEQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-250-0696
Mailing Address - Street 1:27991 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0006
Mailing Address - Country:US
Mailing Address - Phone:440-250-0696
Mailing Address - Fax:440-250-1857
Practice Address - Street 1:27991 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3902
Practice Address - Country:US
Practice Address - Phone:440-250-0696
Practice Address - Fax:440-250-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.063157261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical