Healthcare Provider Details

I. General information

NPI: 1114104023
Provider Name (Legal Business Name): OASIS ANESTHESIA CONSULTANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4710 NORTH 44TH STREET
PHOENIX AZ
85018
US

IV. Provider business mailing address

4710 NORTH 44TH STREET
PHOENIX AZ
85018
US

V. Phone/Fax

Practice location:
  • Phone: 602-267-8600
  • Fax: 602-522-1800
Mailing address:
  • Phone: 602-267-8600
  • Fax: 602-522-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HUNG S LU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 602-267-8600