Provider Demographics
NPI:1437469624
Name:BAY AREA ANESTHESIA ASSOCIATES
Entity Type:Organization
Organization Name:BAY AREA ANESTHESIA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANKHANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-506-7284
Mailing Address - Street 1:4512 FEATHER RIVER DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-6563
Mailing Address - Country:US
Mailing Address - Phone:415-506-7284
Mailing Address - Fax:
Practice Address - Street 1:4512 FEATHER RIVER DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-6563
Practice Address - Country:US
Practice Address - Phone:415-506-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86567208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty