Provider Demographics
NPI:1497052716
Name:ANESTHESIOLOGY PAIN ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ANESTHESIOLOGY PAIN ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DHEERAJ
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAMALAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-348-5344
Mailing Address - Street 1:6 LODGE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3912
Mailing Address - Country:US
Mailing Address - Phone:516-348-5344
Mailing Address - Fax:516-482-3512
Practice Address - Street 1:6 LODGE RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3912
Practice Address - Country:US
Practice Address - Phone:516-348-5344
Practice Address - Fax:516-482-3512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246332207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty