Provider Demographics
NPI:1205144292
Name:WOMENS CENTER FOR UROGYNECOLOGY & ROBOTIC SURGERY INC
Entity type:Organization
Organization Name:WOMENS CENTER FOR UROGYNECOLOGY & ROBOTIC SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-768-7005
Mailing Address - Street 1:15785 LAGUNA CANYON RD STE 125
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3140
Mailing Address - Country:US
Mailing Address - Phone:949-333-2266
Mailing Address - Fax:949-333-2267
Practice Address - Street 1:15785 LAGUNA CANYON RD STE 125
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3140
Practice Address - Country:US
Practice Address - Phone:949-333-2266
Practice Address - Fax:949-333-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty