POTOMAC UROLOGY SURGERY CENTER, LLC – NPI #1629659800
Clinic/Center

POTOMAC UROLOGY SURGERY CENTER, LLC is an AHC clinic located in OXON HILL, MD. NPPES has assigned the NPI number 1629659800 to POTOMAC UROLOGY SURGERY CENTER, LLC on April 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POTOMAC UROLOGY SURGERY CENTER, LLC below.

NPI Profile for
POTOMAC UROLOGY SURGERY CENTER, LLC

NPI Number
1629659800
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POTOMAC UROLOGY SURGERY CENTER, LLC
Primary location
251 NATIONAL HARBOR BLVD # 400A
OXON HILL, MD 20745-1052
Phone: (703) 680-2111 Fax: (703) 878-3939
Mailing address
2296 OPITZ BLVD STE 350
WOODBRIDGE, VA 22191-3346
Phone: (703) 680-2111 Fax: (703) 680-2111
Organization Subpart
No
Authorized Official
PRATIK DESAI
PRESIDENT
Phone: (703) 680-2111
Updated
Certification Date
Apr 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.