Healthcare Provider Details

I. General information

NPI: 1710693320
Provider Name (Legal Business Name): MINNESOTA ANESTHESIA SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 WHITE OAK DR
CHASKA MN
55318-2525
US

IV. Provider business mailing address

1447 WHITE OAK DR
CHASKA MN
55318-2525
US

V. Phone/Fax

Practice location:
  • Phone: 952-368-3800
  • Fax: 952-361-9499
Mailing address:
  • Phone: 952-368-3800
  • Fax: 952-361-9499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SARA BHATTI
Title or Position: ASC OPERATIONS MANAGER
Credential: RN, BSN
Phone: 952-368-3800