1699728063 NPI number — INPATIENT SURGICAL CONSULTANTS, PA

Table of content: ALI MICHELLE SANCHEZ CHW, CRM, PSS,QMHAR (NPI 1134981749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699728063 NPI number — INPATIENT SURGICAL CONSULTANTS, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INPATIENT SURGICAL CONSULTANTS, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699728063
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9715 MEDICAL CENTER DR
Provider Second Line Business Mailing Address:
#233
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-403-0621
Provider Business Mailing Address Fax Number:
240-306-0770

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9715 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
#233
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-403-0621
Provider Business Practice Location Address Fax Number:
240-306-0770
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRODSKY
Authorized Official First Name:
JASON
Authorized Official Middle Name:
AARON
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
240-403-0621

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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