Healthcare Provider Details

I. General information

NPI: 1538851845
Provider Name (Legal Business Name): ANESTHESIA DYNAMICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 BESTGATE RD
ANNAPOLIS MD
21401-3404
US

IV. Provider business mailing address

PO BOX 95000 #8573
PHILADELPHIA PA
19195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 888-851-4642
  • Fax:
Mailing address:
  • Phone: 888-851-4642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NIRMAL JOSHI
Title or Position: OWNER
Credential: MD
Phone: 888-851-4642