Provider Demographics
NPI:1477036051
Name:CLOUD ANESTHESIA PLLC
Entity Type:Organization
Organization Name:CLOUD ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:AKEXANDER
Authorized Official - Middle Name:SERKEY
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-326-4649
Mailing Address - Street 1:13835 N TATUM BLVD STE 9339
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-0409
Mailing Address - Country:US
Mailing Address - Phone:602-326-4649
Mailing Address - Fax:623-321-1112
Practice Address - Street 1:13835 N TATUM BLVD STE 9339
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-0409
Practice Address - Country:US
Practice Address - Phone:602-326-4649
Practice Address - Fax:623-321-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty