| Organization Name: | OXON HILL UROLOGY SURGERY CENTER PC |
| NPI Number: | 1316375884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NABIL Y KHAWAND (MEDICAL DIRECTOR) |
| Mailing Address: | 6228 Oxon Hill Rd Oxon Hill |
| State: | MD US |
| Postal Code: | 207453033 |
| Phone Number: | 3018390770 |
| Fax Number: | 3018391350 |
| NPI Enumeration Date: | 10/21/2013 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |