Organization
GERMANTOWN AMBULATORY SURGICAL CENTER LLC
Active
Other names
SHAHLA FARSAII
Organization subpart
No
Provider details
NPI number
Authorized official
ASGHAR FARSAII (MEDICAL DIRECTOR)
(301) 428-3040
Entity
Organization
Contact information
Practice address
20629 BOLAND FARM RD, GERMANTOWN, MD 20876-4017
(301) 428-3040
Mailing address
20629 BOLAND FARM RD, GERMANTOWN, MD 20876-4017
(301) 428-3040
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4215346000
—
MD
Enumeration date
03/22/2019
Last updated
03/26/2019
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