MEDICARE: ANESTHESIA CONSULTANTS OF INDIANA, LLC

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
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1417974494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA CONSULTANTS OF INDIANA, LLC

Provider Business Mailing Address
First Line	:	7 PARKWAY CTR
Second Line	:	SUITE 375
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3704
Country	:	US
Telephone Number	:	412-937-5945
Fax Number	:	412-937-5739

Provider Business Practice Location Address
First Line	:	7 PARKWAY CTR
Second Line	:	SUITE 375
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3704
Country	:	US
Telephone Number	:	412-937-5945
Fax Number	:	412-937-5739

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THONGCHAI VACHIRASOMBOON
Credential	:	M.D.
Telephone Number	:	219-757-6077

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	09/11/2025

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