Organization
GEMINI ASC ELKRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR RAO MD (MD)
(410) 796-1577
Entity
Organization
Contact information
Practice address
6816 DEERPATH RD, ELKRIDGE, MD 21075-6200
(410) 796-1577
(301) 703-8886
Mailing address
2702 BACK ACRE CIR STE 290B, MOUNT AIRY, MD 21771-7769
(410) 796-1577
(301) 703-8886
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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