Organization
MLK SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITU BHAMBHANI MD (OWNER)
(443) 857-1416
Entity
Organization
Contact information
Practice address
312 MARTIN LUTHER KING JR BLVD STE 102, BALTIMORE, MD 21201-1221
(410) 777-8971
(877) 595-7180
Mailing address
100 WALTER WARD BLVD STE 200, ABINGDON, MD 21009-1285
(443) 857-1416
(877) 595-7180
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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