Goshen Anesthesiology LLC
Specialist in Goshen, IN. Organization (NPI-2).
NPI number1528014362
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528014362
- Entity type
- Organization (NPI-2)
- Legal business name
- Goshen Anesthesiology LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
200 High Park AveGoshen, IN 46526-4810
Phone 574-273-6546 · Fax 574-273-5295
Mailing address
P O Box 661172Indianapolis, IN 46266-0001
Phone 574-273-6546 · Fax 574-273-5295
Authorized official
Poopalasingham Poovendran
President
5742736546
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All 6 Specialist providers in Goshen · All 1,111 providers in Goshen
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