Healthcare Provider Details
I. General information
NPI: 1912832882
Provider Name (Legal Business Name): CROSSROADS ANESTHESIA P C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13421 OLD MERIDIAN ST
CARMEL IN
46032-1427
US
IV. Provider business mailing address
565 ISENHOUR HILLS DR
ZIONSVILLE IN
46077-1144
US
V. Phone/Fax
- Phone: 317-706-1600
- Fax:
- Phone: 317-997-1725
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
CHOI
Title or Position: PRESIDENT
Credential: MD
Phone: 317-997-1725