Healthcare Provider Details

I. General information

NPI: 1073349742
Provider Name (Legal Business Name): ANESTHESIA COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 RIVA RD STE 118
ANNAPOLIS MD
21401-7430
US

IV. Provider business mailing address

700 MELVIN AVE STE 7A
ANNAPOLIS MD
21401-1515
US

V. Phone/Fax

Practice location:
  • Phone: 410-571-9595
  • Fax: 410-571-9590
Mailing address:
  • Phone: 410-280-2260
  • Fax:

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: ARNAB MUKHERJEE
Title or Position: PRESIDENT
Credential: MD
Phone: 203-809-3512