Precise Anesthetic,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

R137569 Issued in MD

Legal business name

PRECISE ANESTHETIC,LLC

Practice address

3401 Box Hill Corporate Center Dr
Abingdon, MD 21009-1200

Phone

(410) 652-4598

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

PRECISE ANESTHETIC,LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hamid R Khairghadam, NURSE ANESTHETIST

Title

Crna

Phone

(410) 652-4598

Specialties & licenses 1

Addresses

Part of

Precise Anestheticllc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1588196349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 PHILLIPS MILL RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502119",
            "telephone_number": "410-652-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091200",
            "telephone_number": "410-652-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE ANESTHETIC,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISE ANESTHETIC,LLC",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "KHAIRGHADAM",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "410-652-4598",
        "authorized_official_credential": "NURSE ANESTHETIST"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "R137569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.