Healthcare Provider Details

I. General information

NPI: 1831562719
Provider Name (Legal Business Name): STRATEGY ANESTHESIA VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W BROAD STREET (ROUTE 7)
FALLS CHURCH VA
22046
US

IV. Provider business mailing address

3943 IRVINE BLVD
IRVINE CA
92602-3204
US

V. Phone/Fax

Practice location:
  • Phone: 703-894-2224
  • Fax: 703-997-2566
Mailing address:
  • Phone: 310-740-7864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FAHIM HASHIM
Title or Position: SOLE MEMBER
Credential:
Phone: 310-740-7864