Provider Demographics
NPI: | 1023574084 |
---|---|
Name: | AMBULATORY ANESTHESIA SERVICES, PLLC |
Entity Type: | Organization |
Organization Name: | AMBULATORY ANESTHESIA SERVICES, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | AHSAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BHATTI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 952-368-3800 |
Mailing Address - Street 1: | 400 10TH ST E |
Mailing Address - Street 2: | |
Mailing Address - City: | WACONIA |
Mailing Address - State: | MN |
Mailing Address - Zip Code: | 55387-4552 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 888-209-0305 |
Mailing Address - Fax: | 952-442-3620 |
Practice Address - Street 1: | 1447 WHITE OAK DR |
Practice Address - Street 2: | |
Practice Address - City: | CHASKA |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55318-2525 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-209-0305 |
Practice Address - Fax: | 952-442-3620 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-02-14 |
Last Update Date: | 2023-01-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | Group - Single Specialty |