Healthcare Provider Details

I. General information

NPI: 1629985478
Provider Name (Legal Business Name): TRANQUIL CARE ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 BAY RIDGE PKWY
BROOKLYN NY
11209-3176
US

IV. Provider business mailing address

116 SANDFORD ST
BROOKLYN NY
11205-2987
US

V. Phone/Fax

Practice location:
  • Phone: 718-833-4200
  • Fax: 718-833-0033
Mailing address:
  • Phone: 718-833-4200
  • Fax: 718-833-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MEHRDAD HEDAYATNIA
Title or Position: OWNER
Credential:
Phone: 718-833-4200