Organization
WASHINGTON SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HITESH PRAVIN AMIN M.D. (PRESIDENT)
(301) 292-7200
Entity
Organization
Contact information
Practice address
11701 LIVINGSTON RD, SUITE 308, FORT WASHINGTON, MD 20744-5146
(301) 292-7200
(301) 292-9639
Mailing address
11701 LIVINGSTON RD, SUITE 308, FORT WASHINGTON, MD 20744-5146
(301) 292-7200
(301) 292-9639
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0064673
MD
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9JPWA
CAREFIRST MD
MD
01
—
Q906
CAREFIRST DC
DC
Enumeration date
06/17/2008
Last updated
02/08/2012
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