Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1356901995 |
| LBN Legal business name | CASE CENTER FOR SURGERY & ENDOSCOPY LLC |
| Authorized official | VEN KOTTAPALLI - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/17/2019 |
| Last updated | 12/20/2019 - About 6 years ago |
| Identifiers | n/a |
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