Healthcare Provider Details

I. General information

NPI: 1164084000
Provider Name (Legal Business Name): WASHINGTON SURGERY CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11272 GEORGIA AVE
SILVER SPRING MD
20902-7633
US

IV. Provider business mailing address

PO BOX 39220
WASHINGTON DC
20016-9220
US

V. Phone/Fax

Practice location:
  • Phone: 202-404-1014
  • Fax: 888-811-4933
Mailing address:
  • Phone: 202-919-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ASMIR SYED
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-919-1014