Organization Name: | W.A.SURGICAL ASSOSCIATES.S.C |
NPI Number: | 1033254834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MULJI PAUWAA (PRESIDENT) |
Mailing Address: | 54 Graymoor Ln Olympia Fields |
State: | IL US |
Postal Code: | 604611218 |
Phone Number: | 7084816994 |
Fax Number: | 7087484069 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 036061823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |