Provider Demographics
NPI:1225408685
Name:STRATEGY ANESTHESIA SOUTH CAROLINA LLC
Entity Type:Organization
Organization Name:STRATEGY ANESTHESIA SOUTH CAROLINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:
Authorized Official - Last Name:IRFAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-665-3057
Mailing Address - Street 1:3943 IRVINE BLVD
Mailing Address - Street 2:STE 628
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2400
Mailing Address - Country:US
Mailing Address - Phone:703-665-3046
Mailing Address - Fax:703-991-7269
Practice Address - Street 1:457-E BYPASS 123
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-0842
Practice Address - Country:US
Practice Address - Phone:855-770-8100
Practice Address - Fax:846-886-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty