Provider Demographics
NPI:1003225020
Name:AMANI ENTERPRISES INCORPORATED
Entity Type:Organization
Organization Name:AMANI ENTERPRISES INCORPORATED
Other - Org Name:MEDLINKHEALTH ANESTHESIA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MUNDIA
Authorized Official - Last Name:MWAURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-470-0357
Mailing Address - Street 1:66 PAINTERS MILL RD STE 106
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3643
Mailing Address - Country:US
Mailing Address - Phone:443-394-0523
Mailing Address - Fax:
Practice Address - Street 1:66 PAINTERS MILL RD STE 106
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3643
Practice Address - Country:US
Practice Address - Phone:443-394-0523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No1223D0004XDental ProvidersDentistDentist AnesthesiologistGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist AssistantGroup - Single Specialty