Centric Ambulatory Surgery Center LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Moberly, MO

NPI 1487158796 · NPPES record last updated Mar 22, 2018

Key facts

NPI
1487158796
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
CENTRIC AMBULATORY SURGERY CENTER LLC
Practice address
2103 Silva LN
Moberly, MO 65270-3660
Phone
(660) 616-0022
NPI assigned
Mar 21, 2018
Organization subpart
No

Authorized official

Name
Dr. Sanjeev Dhari Ravipudi, MD
Title
Owner
Phone
(626) 394-6299

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

8730 Stony Point Pkwy
Ste 175
Richmond, VA 23235

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

2103 Silva LN
Moberly, MO 65270-3660

Mailing address

2103 Silva LN
Moberly, MO 65270-3660
Phone (660) 616-0022

Other providers in Moberly, MO

All providers in Moberly, MO · Ambulatory Surgical Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.