Provider Demographics
NPI:1720257785
Name:UNITED SURGICAL ASSOCIATES, PLC
Entity Type:Organization
Organization Name:UNITED SURGICAL ASSOCIATES, PLC
Other - Org Name:UNITED SURGICAL ASSISTANTS, PLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/ SURGICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLYANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD SA-C
Authorized Official - Phone:703-349-6343
Mailing Address - Street 1:PO BOX 9101
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-0101
Mailing Address - Country:US
Mailing Address - Phone:703-349-6343
Mailing Address - Fax:703-652-7863
Practice Address - Street 1:1860 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5896
Practice Address - Country:US
Practice Address - Phone:703-349-6343
Practice Address - Fax:703-652-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty