Provider Demographics
NPI:1316651136
Name:FRIENDSHIP HEIGHTS ENDOSCOPY ASC
Entity type:Organization
Organization Name:FRIENDSHIP HEIGHTS ENDOSCOPY ASC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:AAMIR
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-737-0085
Mailing Address - Street 1:5550 FRIENDSHIP BLVD STE T100
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7228
Mailing Address - Country:US
Mailing Address - Phone:240-531-2832
Mailing Address - Fax:240-531-2833
Practice Address - Street 1:5550 FRIENDSHIP BLVD STE T100
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7228
Practice Address - Country:US
Practice Address - Phone:240-531-2832
Practice Address - Fax:240-531-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility