Healthcare Provider Details

I. General information

NPI: 1225408685
Provider Name (Legal Business Name): STRATEGY ANESTHESIA SOUTH CAROLINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457-E BYPASS 123
SENECA SC
29678-0842
US

IV. Provider business mailing address

3943 IRVINE BLVD STE 628
IRVINE CA
92602-2400
US

V. Phone/Fax

Practice location:
  • Phone: 855-770-8100
  • Fax: 846-886-9888
Mailing address:
  • Phone: 703-665-3046
  • Fax: 703-991-7269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KASHIF IRFAN
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 703-665-3057