Provider Demographics
NPI:1598136186
Name:VEDA SURGERY CENTER LLC
Entity Type:Organization
Organization Name:VEDA SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:K
Authorized Official - Last Name:ALOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD FRCS
Authorized Official - Phone:410-830-1794
Mailing Address - Street 1:713 HAWKSHEAD RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7019
Mailing Address - Country:US
Mailing Address - Phone:410-830-1794
Mailing Address - Fax:410-296-6689
Practice Address - Street 1:530 E JOPPA ROAD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5403
Practice Address - Country:US
Practice Address - Phone:410-830-1794
Practice Address - Fax:410-296-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical