Provider Demographics
NPI:1437378460
Name:SURGICAL ASSOCIATES OF ROME MD PC
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF ROME MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMJAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-337-0540
Mailing Address - Street 1:1617 N JAMES ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-337-0540
Mailing Address - Fax:315-337-9213
Practice Address - Street 1:1617 N JAMES ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440
Practice Address - Country:US
Practice Address - Phone:315-337-0540
Practice Address - Fax:315-337-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00540854Medicaid
NY34799Medicare ID - Type Unspecified