Healthcare Provider Details

I. General information

NPI: 1760396477
Provider Name (Legal Business Name): GHO SURGERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15215 SHADY GROVE RD STE 306
ROCKVILLE MD
20850-0202
US

IV. Provider business mailing address

2101 MEDICAL PARK DR STE 101
SILVER SPRING MD
20902-4053
US

V. Phone/Fax

Practice location:
  • Phone: 757-773-4626
  • Fax:
Mailing address:
  • Phone: 757-773-4626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANKUR GUPTA
Title or Position: OWNER
Credential: MD
Phone: 757-773-4626