MEDICARE: AMBULATORY ANESTHESIA SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1023574084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBULATORY ANESTHESIA SERVICES, PLLC

Provider Business Mailing Address
First Line	:	400 10TH ST E
Second Line	:
City	:	WACONIA
State	:	MN
Zip	:	55387-4552
Country	:	US
Telephone Number	:	888-209-0305
Fax Number	:	952-442-3620

Provider Business Practice Location Address
First Line	:	1447 WHITE OAK DR
Second Line	:
City	:	CHASKA
State	:	MN
Zip	:	55318-2525
Country	:	US
Telephone Number	:	888-209-0305
Fax Number	:	952-442-3620

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AHSAN BHATTI
Credential	:	MD
Telephone Number	:	952-368-3800

Provider Enumeration Date	:	02/14/2019
Last Update Date	:	01/26/2023

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