Provider Demographics
NPI:1245677798
Name:PHYSICIANS NOW AMBULATORY SURGERY LLP
Entity type:Organization
Organization Name:PHYSICIANS NOW AMBULATORY SURGERY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINEDUM
Authorized Official - Middle Name:
Authorized Official - Last Name:OLISEMEKA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-519-0902
Mailing Address - Street 1:15215 SHADY GROVE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3235
Mailing Address - Country:US
Mailing Address - Phone:301-519-0902
Mailing Address - Fax:
Practice Address - Street 1:15215 SHADY GROVE RD STE 100
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3235
Practice Address - Country:US
Practice Address - Phone:301-519-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPENDINGMedicare UPIN