Organization
MECHANICSVILLE AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA P JAYARAMAN (PRESIDENT)
(301) 884-8161
Entity
Organization
Contact information
Practice address
28227 THREE NOTCH ROAD, MECHANICSVILLE, MD 20659
(301) 884-8161
(301) 475-7039
Mailing address
28227 THREE NOTCH ROAD, MECHANICSVILLE, MD 20659
(301) 884-8161
(301) 475-7039
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1402
MD
Other
Enumeration date
10/03/2006
Last updated
10/21/2025
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