Organization
CAPITAL HEALTHCARE LLC
Active
Other names
Capital Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USAMA GABR MD (CEO)
(248) 212-0777
Entity
Organization
Contact information
Practice address
2700 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-4547
(248) 212-0777
(248) 575-4144
Mailing address
2700 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-4547
(248) 212-0777
(248) 575-4144
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301102325
MI
208VP0000X
Pain Medicine Physician
4301102325
MI
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282287
—
MI
05
—
GP4958
—
SC
Enumeration date
10/30/2012
Last updated
06/25/2019
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