Healthcare Provider Details

I. General information

NPI: 1659540946
Provider Name (Legal Business Name): ACCOMODATIVE SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 S EDGERTON RD
BRECKSVILLE OH
44141
US

IV. Provider business mailing address

2740 CARNEGIE AVE
CLEVELAND OH
44115-2627
US

V. Phone/Fax

Practice location:
  • Phone: 216-621-6132
  • Fax:
Mailing address:
  • Phone: 216-621-6132
  • 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. SHAMIK BAFNA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 216-621-6132