Provider Demographics
NPI:1548653595
Name:BEL AIR SURGICAL AND VEIN CENTER, LLC
Entity type:Organization
Organization Name:BEL AIR SURGICAL AND VEIN CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YASH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-569-8004
Mailing Address - Street 1:2227 OLD EMMORTON RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6187
Mailing Address - Country:US
Mailing Address - Phone:410-569-8004
Mailing Address - Fax:410-848-2283
Practice Address - Street 1:2227 OLD EMMORTON RD
Practice Address - Street 2:SUITE 122
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6187
Practice Address - Country:US
Practice Address - Phone:410-569-8004
Practice Address - Fax:410-848-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical