Healthcare Provider Details

I. General information

NPI: 1063419893
Provider Name (Legal Business Name): REGIONAL ANESTHESIA ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CENTER ST
COLUMBUS GA
31901-1527
US

IV. Provider business mailing address

PO BOX 1380
COLUMBUS GA
31902-1307
US

V. Phone/Fax

Practice location:
  • Phone: 706-571-1427
  • Fax: 706-660-6472
Mailing address:
  • Phone: 706-571-1427
  • Fax: 706-660-6472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: RAJESH ARORA
Title or Position: PRESIDENT
Credential: MD
Phone: 706-571-1427