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MONUMENT SURGICAL SERVICES LLC NPI 1124484852


NPI Information

NPI: 1124484852
Provider Name: MONUMENT SURGICAL SERVICES LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
224-D CORNWALL STREET, NW
SUITE 300
LEESBURG, VA
ZIP 20176
Phone: (707) 777-7477
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MONUMENT SURGICAL SERVICES LLC is a specialist in Leesburg, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MONUMENT SURGICAL SERVICES LLC NPI is 1124484852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224-D CORNWALL STREET, NW
SUITE 300
LEESBURG, VA
ZIP 20176
Phone: (707) 777-7477
Fax: (571) 291-2452

The provider's authorized official is Behzad Parva .
The authorized official title is Owner/surgeon and has the following contact phone number (707) 777-7477.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101056821VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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