Basic Information
| Provider Information | |||||||||
| NPI: | 1619128832 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WASHINGTON SURGICAL ASSOCIATES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2175 K ST NW | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200371831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027759375 | ||||||||
| FaxNumber: | 2027751599 | ||||||||
| Practice Location | |||||||||
| Address1: | 2175 K ST NW | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200371831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027759375 | ||||||||
| FaxNumber: | 2027751599 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2008 | ||||||||
| LastUpdateDate: | 10/07/2008 | ||||||||
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| AuthorizedOfficialLastName: | KALAN | ||||||||
| AuthorizedOfficialFirstName: | MOHAMMED | ||||||||
| AuthorizedOfficialMiddleName: | MH | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 2027759375 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.