Provider Demographics
NPI:1659540946
Name:ACCOMODATIVE SURGERY CENTER
Entity Type:Organization
Organization Name:ACCOMODATIVE SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAFNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-621-6132
Mailing Address - Street 1:2740 CARNEGIE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2627
Mailing Address - Country:US
Mailing Address - Phone:216-621-6132
Mailing Address - Fax:
Practice Address - Street 1:7001 S EDGERTON RD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141
Practice Address - Country:US
Practice Address - Phone:216-621-6132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical