# CHOICE SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295429496
- **Authorized official:** SOUBRATA V RAIKAR MD (CEO)
- **Authorized official phone:** (402) 981-4768

## Contact information

- **Practice address:** 8814 MAPLE ST, OMAHA, NE 68134-6126
- **Practice address phone:** (402) 391-9100
- **Practice address fax:** (402) 620-6651
- **Mailing address:** 8814 MAPLE ST, OMAHA, NE 68134-6126
- **Mailing address phone:** (402) 391-9100
- **Mailing address fax:** (402) 620-6651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023