Provider Demographics
NPI:1003866146
Name:ANESTHESIA SERVICES OF KENTUCKY, PLLC
Entity Type:Organization
Organization Name:ANESTHESIA SERVICES OF KENTUCKY, PLLC
Other - Org Name:ORA, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSHTAQUE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JUNEJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-629-2880
Mailing Address - Street 1:601 S FLOYD ST
Mailing Address - Street 2:SUITE 407
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1835
Mailing Address - Country:US
Mailing Address - Phone:502-629-2880
Mailing Address - Fax:502-629-2879
Practice Address - Street 1:4001 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4714
Practice Address - Country:US
Practice Address - Phone:502-629-2880
Practice Address - Fax:502-629-2879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty