Provider Demographics
NPI:1891079893
Name:SURGICAL AND PROFESSIONAL SERVICES PC
Entity Type:Organization
Organization Name:SURGICAL AND PROFESSIONAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAKASH
Authorized Official - Middle Name:RAMAIAH
Authorized Official - Last Name:PARAGI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MD
Authorized Official - Phone:862-252-7012
Mailing Address - Street 1:393 NORTHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3001
Mailing Address - Country:US
Mailing Address - Phone:862-252-7012
Mailing Address - Fax:
Practice Address - Street 1:393 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3001
Practice Address - Country:US
Practice Address - Phone:862-252-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-08
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty