GREEN SURGICAL LLC. NPI 1235687666

NPI Information

NPI: 1235687666
Provider Name: GREEN SURGICAL, LLC.
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
8687 CONNECTICUT ST
SUITE D
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 750-9630
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GREEN SURGICAL, LLC. is a pain clinic center in Merrillville, IN. GREEN SURGICAL, LLC. NPI is 1235687666. The provider is registered as an organization entity type.

The provider's business location address is:

8687 CONNECTICUT ST
SUITE D
MERRILLVILLE, IN
ZIP 46410-361
Phone: (219) 750-9630

The provider's authorized official is Tarek Shahbandar .
The authorized official title is Owner and has the following contact phone number (219) 750-9630.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 10/11/2016.

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
1	261QP3300X	Clinic/Center	Pain			Yes

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: 4/28/2024

NPI Synchronization or Removal

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