MEDICARE: ANESTHESIA COMPANY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1386499358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA COMPANY, LLC

Provider Business Mailing Address
First Line	:	700 MELVIN AVE STE 7A
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-1515
Country	:	US
Telephone Number	:	410-280-2260
Fax Number	:

Provider Business Practice Location Address
First Line	:	8028 RITCHIE HWY STE 142
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1069
Country	:	US
Telephone Number	:	410-280-2260
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARNAB MUKHERJEE
Credential	:
Telephone Number	:	203-809-3512

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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