Provider Demographics
NPI:1164865572
Name:VIGILANT ANESTHETIX, PC
Entity Type:Organization
Organization Name:VIGILANT ANESTHETIX, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARUGUR
Authorized Official - Middle Name:SUBRAMANIAN
Authorized Official - Last Name:RAVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-541-7888
Mailing Address - Street 1:P O BOX 88169
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-9998
Mailing Address - Country:US
Mailing Address - Phone:808-541-7888
Mailing Address - Fax:
Practice Address - Street 1:1301 PUNCHBOWL STREET
Practice Address - Street 2:OPERATING ROOMS, 3RD FLOOR,
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-541-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI15648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty