Healthcare Provider Details

I. General information

NPI: 1588679351
Provider Name (Legal Business Name): SOUND ANESTHESIA, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34515 9TH AVE S
FEDERAL WAY WA
98003-6761
US

IV. Provider business mailing address

3633 PACIFIC AVE SUITE 204
TACOMA WA
98418-7900
US

V. Phone/Fax

Practice location:
  • Phone: 866-284-5033
  • Fax:
Mailing address:
  • Phone: 253-274-1668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: PRASAD REDDY
Title or Position: PRESIDENT
Credential: MD
Phone: 253-588-7911