Provider Demographics
NPI:1598798068
Name:ADVANCED LAPAROSCOPIC AND GENERAL SURGERY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ADVANCED LAPAROSCOPIC AND GENERAL SURGERY ASSOCIATES, PLLC
Other - Org Name:ALAGSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAZEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELARINY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-778-6000
Mailing Address - Street 1:2235 CEDAR LN
Mailing Address - Street 2:SUITE 302
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-5202
Mailing Address - Country:US
Mailing Address - Phone:708-778-6000
Mailing Address - Fax:703-778-6005
Practice Address - Street 1:2235 CEDAR LN
Practice Address - Street 2:SUITE 302
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-5202
Practice Address - Country:US
Practice Address - Phone:708-778-6000
Practice Address - Fax:703-778-6005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center