Healthcare Provider Details

I. General information

NPI: 1396559845
Provider Name (Legal Business Name): ANESTHESIA COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 7TH ST
FREDERICK MD
21701-4506
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 240-566-3300
  • Fax: 410-280-2290
Mailing address:
  • Phone: 410-280-2260
  • Fax: 410-280-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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