Organization
POTOMAC UROLOGY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATIK S DESAI MD (PRESIDENT)
(703) 680-2111
Entity
Organization
Contact information
Practice address
251 NATIONAL HARBOR BLVD # 400A, OXON HILL, MD 20745-1052
(703) 680-2111
(703) 878-3939
Mailing address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(703) 680-2111
(703) 680-2111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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