Advanced Pain Surgery Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Waldorf, MD
NPI 1447580394 · NPPES record last updated Dec 10, 2017
Key facts
- NPI
- 1447580394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- ADVANCED PAIN SURGERY CENTER LLC
- Practice address
- 12070 Old Line Ctr Ste 205
Waldorf, MD 20602-2567 - Phone
- (240) 629-3920
- Fax
- (240) 629-3921
- NPI assigned
- Dec 28, 2009
- Organization subpart
- No
Authorized official
- Name
- Khalid a Kahloon
- Title
- Ceo
- Phone
- (502) 261-7200
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
12070 Old Line Ctr Ste 205
Waldorf, MD 20602-2567
Mailing address
1050 Key Pkwy Ste 202
Frederick, MD 21702-4551
Phone (240) 629-3990
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- Advanced Pain Management, LLC
- Advanced Pain Management, LLC
- Advanced Surgicare of Maryland P.a
- Aegis Dental Group LLC (Dba Smiles4All)
- Muminat Afolabi
- Agatha Home Health
- Agatha Home Health Services LLC
All providers in Waldorf, MD · Ambulatory Surgical Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.