Provider Demographics
NPI:1992394571
Name:THE SURGERY CLINICS LLC
Entity Type:Organization
Organization Name:THE SURGERY CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:
Authorized Official - First Name:KETAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESSWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-251-0070
Mailing Address - Street 1:15001 SHADY GROVE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6354
Mailing Address - Country:US
Mailing Address - Phone:301-251-0070
Mailing Address - Fax:301-251-0071
Practice Address - Street 1:6502 KENILWORTH AVE FL 2
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1370
Practice Address - Country:US
Practice Address - Phone:301-251-0070
Practice Address - Fax:301-251-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty