Healthcare Provider Details

I. General information

NPI: 1861310807
Provider Name (Legal Business Name): BAYASI SURGICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 TOWN CENTER PKWY STE 310
RESTON VA
20190-3300
US

IV. Provider business mailing address

1850 TOWN CENTER PKWY STE 310
RESTON VA
20190-3300
US

V. Phone/Fax

Practice location:
  • Phone: 705-570-5227
  • Fax:
Mailing address:
  • Phone: 705-570-5227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMED BAYASI
Title or Position: MANAGER
Credential: MD
Phone: 703-570-5227