MEDICARE: SHREEJI ANESTHESIA PC

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	207L00000X	Anesthesiology Physician	2268011	NY

General Provider Information

NPI Number	:	1154368769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHREEJI ANESTHESIA PC

Provider Business Mailing Address
First Line	:	286 BALCOM AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-3105
Country	:	US
Telephone Number	:	718-684-7590
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5915
Country	:	US
Telephone Number	:	718-231-5100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PRAKASH B PATEL
Credential	:	MD
Telephone Number	:	718-684-7590

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/22/2020

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