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NPI Code Detail

MEDICARE: MALABAR ANESTHESIA SERVICES LTD

MEDICARE: MALABAR ANESTHESIA SERVICES LTD
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
1367500000XCertified Registered Nurse Anesthetist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CB6800OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760432454
Entity Type Code : Organization
Provider Name (Legal Business Name) : MALABAR ANESTHESIA SERVICES LTD
Provider Business Mailing Address
First Line : PO BOX 182255
Second Line :
City : COLUMBUS
State : OH
Zip : 43218-2255
Country : US
Telephone Number : 614-430-5764
Fax Number :
Provider Business Practice Location Address
First Line : 3300 WELTY RD
Second Line :
City : LUCAS
State : OH
Zip : 44843-9729
Country : US
Telephone Number : 419-566-4152
Fax Number : 419-842-3875
Authorized Official
Title or Position : PRESIDENT
Name : DAVID M GRAHAM
Credential : CRNA
Telephone Number : 419-566-4152
Provider Enumeration Date : 05/11/2006
Last Update Date : 04/20/2008

Similar Medicare Providers

1588657183 — MR. MICHAEL SILKA CRNA
Practice Location Address:
3300 WELTY RD
LUCAS, OH
44843-9729
Practice Phone: 419-892-5798
Practice Fax: 419-892-2694
1487605283 — MR. JOHN ROBERT JOHNSON CRNA
Practice Location Address:
3300 WELTY RD
LUCAS, OH
44843-9729
Practice Phone: 419-566-4152
Practice Fax: 419-842-3875
1578514337 — DAVID M GRAHAM CRNA
Practice Location Address:
3300 WELTY RD
LUCAS, OH
44843-9729
Practice Phone: 419-566-4152
Practice Fax: 419-842-3875
1518918242 — DARLENE RUDRICK CRNA
Practice Location Address:
3300 WELTY RD
LUCAS, OH
44843-9729
Practice Phone: 419-566-4152
Practice Fax: 419-842-3875
1659302255 — CARL R GEORGE CRNA
Practice Location Address:
3300 WELTY RD
LUCAS, OH
44843-9729
Practice Phone: 419-566-4152
Practice Fax: 419-842-3875
1457739500 — TIFFANY SPITLER
Practice Location Address:
3418 WELTY RD
LUCAS, OH
44843-9729
Practice Phone: 740-392-8828
Practice Fax:

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