Organization
MD LASER SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT S. K. BANDA MD (OWNER)
(443) 283-0600
Entity
Organization
Contact information
Practice address
7120 MINSTREL WAY, SUITE 103, COLUMBIA, MD 21045-5248
(410) 312-5248
(443) 283-0399
Mailing address
7120 MINSTREL WAY STE 103, COLUMBIA, MD 21045-5274
(410) 312-5248
(443) 283-0399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549651
JOINT COMMISSION ACCR. ORG. ID
—
01
—
A1546
STATE LICENSE
MD
Enumeration date
03/04/2013
Last updated
09/19/2025
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