Healthcare Provider Details
I. General information
NPI: 1376456582
Provider Name (Legal Business Name): CHESAPEAKE ANESTHESIA PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3460 OLD WASHINGTON RD STE 101
WALDORF MD
20602-3241
US
IV. Provider business mailing address
3460 OLD WASHINGTON RD STE 101
WALDORF MD
20602-3241
US
V. Phone/Fax
- Phone: 301-538-1226
- Fax:
- Phone: 301-538-1226
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
ANVER
KHAN
Title or Position: DO
Credential: DO
Phone: 301-538-1226