Healthcare Provider Details

I. General information

NPI: 1992394571
Provider Name (Legal Business Name): THE SURGERY CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6502 KENILWORTH AVE FL 2
RIVERDALE MD
20737-1370
US

IV. Provider business mailing address

PO BOX 10616
GAITHERSBURG MD
20898-0616
US

V. Phone/Fax

Practice location:
  • Phone: 240-912-4576
  • Fax: 240-757-1011
Mailing address:
  • Phone: 240-912-4576
  • Fax: 240-757-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAYESH DAYAL
Title or Position: PHYSICIAN
Credential: MD
Phone: 240-912-4576