Provider Demographics
NPI:1346768249
Name:SHENANDOAH VALLEY ANESTHESIA SERVICES PLLC
Entity Type:Organization
Organization Name:SHENANDOAH VALLEY ANESTHESIA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:POU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-437-1208
Mailing Address - Street 1:PO BOX 79866
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0866
Mailing Address - Country:US
Mailing Address - Phone:540-437-1208
Mailing Address - Fax:540-642-1357
Practice Address - Street 1:3322 EMMAUS RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-2685
Practice Address - Country:US
Practice Address - Phone:540-437-0087
Practice Address - Fax:540-642-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty