Healthcare Provider Details

I. General information

NPI: 1316627862
Provider Name (Legal Business Name): BTB SURGICAL ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N CAMDEN DR STE 775
BEVERLY HILLS CA
90210-4540
US

IV. Provider business mailing address

414 N CAMDEN DR STE 775
BEVERLY HILLS CA
90210-4540
US

V. Phone/Fax

Practice location:
  • Phone: 310-299-8683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: OBAID CHAUDHRY
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 310-299-8683