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General NPI Number Information
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NPI Number | 1942292545
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Entity Type | Organization
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Legal Business Name | CAPITAL REGION AMBULATORY SURGERY CENTER, L.L.C.
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 1367 WASHINGTON AVE SUITE 401
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City | ALBANY
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State | NY
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Zip | 12206-1043
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Country | US
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Telephone | 518-438-7638
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Fax | 518-438-7695
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Provider Business Mailing Address
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Address Line | 1367 WASHINGTON AVE SUITE 401
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City | ALBANY
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State | NY
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Zip | 12206-1043
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Country | US
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Telephone | 518-438-7638
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Fax | 518-438-7695
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SHANKAR P. DAS
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Credential | M.D.
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Telephone | 518-438-7638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0101220R
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License Number State | NY
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