| NPI | 1073073458 |
|---|---|
| Former Legal Business Name | SHAHLA FARSAII |
| Entity Type | Organization |
| Authorized Contact | ASGHAR FARSAII Medical Director 301-428-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-26 |