Provider Demographics
NPI:1518579903
Name:AMIN SURGERY CENTER FOR WOMEN LLC
Entity Type:Organization
Organization Name:AMIN SURGERY CENTER FOR WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, PC
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHENDRA
Authorized Official - Middle Name:KUMAR GOVINDBHAI
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:912-381-2000
Mailing Address - Street 1:1150 KIRKLAND LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-2044
Mailing Address - Country:US
Mailing Address - Phone:912-384-6630
Mailing Address - Fax:912-384-0418
Practice Address - Street 1:1150B KIRKLAND LN
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2044
Practice Address - Country:US
Practice Address - Phone:912-384-6630
Practice Address - Fax:912-384-0418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical