Healthcare Provider Details

I. General information

NPI: 1235400920
Provider Name (Legal Business Name): RBS ANESTHESIA SERVICES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2012
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 6TH AVE SUITE 100
TACOMA WA
98405-4040
US

IV. Provider business mailing address

1112 6TH AVE SUITE 100
TACOMA WA
98405-4040
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-3916
  • Fax:
Mailing address:
  • Phone: 253-272-3916
  • 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: DR. SIVAPRASAD M. REDDY
Title or Position: OWNER
Credential: MD
Phone: 253-274-1642