Provider Demographics
NPI:1073369468
Name:VIRGINIA SURGERY GROUP PC
Entity type:Organization
Organization Name:VIRGINIA SURGERY GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-494-7701
Mailing Address - Street 1:8284 SPRING LEAF CT
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-6027
Mailing Address - Country:US
Mailing Address - Phone:832-494-7701
Mailing Address - Fax:
Practice Address - Street 1:1850 TOWN CENTER PKWY STE 310
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3300
Practice Address - Country:US
Practice Address - Phone:832-494-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty