Healthcare Provider Details
I. General information
NPI: 1629468038
Provider Name (Legal Business Name): INDUS ANESTHESIA CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2015
Last Update Date: 01/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 N HIGHLAND AVE
SHERMAN TX
75092-7354
US
IV. Provider business mailing address
5 HOLLAND SUITE 101
IRVINE CA
92618-2566
US
V. Phone/Fax
- Phone: 903-870-4611
- Fax: 949-588-2199
- Phone: 949-588-2190
- Fax: 949-588-2199
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PARAMDEEP
S.
BHASIN
Title or Position: PRESIDENT
Credential: M. D.
Phone: 949-588-2190