Organization
GERMANTOWN AMBULATORY SURGICAL CENTER LLC
Active
Other names
Shahla N Farsaii, GERMANTOWN UROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ASGHAR FARSAII (MEDICAL DIRECTOR)
(301) 428-3040
Entity
Organization
Contact information
Practice address
20629 BOLAND FARM RD, GERMANTOWN, MD 20876-4017
(301) 428-3040
(301) 428-0071
Mailing address
20629 BOLAND FARM RD, GERMANTOWN, MD 20876-4017
(301) 428-3040
(301) 428-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A1270
MD
208800000X
Urology Physician
Primary
A1270
MD
208VP0000X
Pain Medicine Physician
A1270
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505000600
—
MD
Enumeration date
02/27/2007
Last updated
03/22/2019
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