Provider Demographics
NPI:1417666231
Name:ARUNDEL ANESTHESIA, LLC
Entity Type:Organization
Organization Name:ARUNDEL ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-422-1124
Mailing Address - Street 1:7130 MINSTREL WAY STE 217
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5333
Mailing Address - Country:US
Mailing Address - Phone:410-290-6677
Mailing Address - Fax:410-290-6676
Practice Address - Street 1:7130 MINSTREL WAY STE 217
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5333
Practice Address - Country:US
Practice Address - Phone:410-290-6677
Practice Address - Fax:410-290-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty