Provider Demographics
NPI:1447639786
Name:CENTER FOR WOMEN'S HEALTH AND MINIMALLY INVASIVE SURGERY, INC.
Entity type:Organization
Organization Name:CENTER FOR WOMEN'S HEALTH AND MINIMALLY INVASIVE SURGERY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHOBHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-688-6097
Mailing Address - Street 1:8714 HICKORY BEND TRL
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2557
Mailing Address - Country:US
Mailing Address - Phone:240-688-6097
Mailing Address - Fax:
Practice Address - Street 1:5530 WISCONSIN AVE STE 914
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4330
Practice Address - Country:US
Practice Address - Phone:240-688-6097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD71550207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty