Healthcare Provider Details

I. General information

NPI: 1598136186
Provider Name (Legal Business Name): VEDA SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 10/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 E JOPPA ROAD
TOWSON MD
21286-5403
US

IV. Provider business mailing address

713 HAWKSHEAD RD
TIMONIUM MD
21093-7019
US

V. Phone/Fax

Practice location:
  • Phone: 410-830-1794
  • Fax: 410-296-6689
Mailing address:
  • Phone: 410-830-1794
  • Fax: 410-296-6689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RAVI K ALOOR
Title or Position: SURGEON
Credential: MD FRCS
Phone: 410-830-1794