Provider Demographics
NPI:1497327522
Name:ANESTHESIA PAIN SERVICES, PLLC
Entity Type:Organization
Organization Name:ANESTHESIA PAIN SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GOKUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSHNIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-854-8910
Mailing Address - Street 1:46270 CORDOBA DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-2432
Mailing Address - Country:US
Mailing Address - Phone:248-854-8910
Mailing Address - Fax:
Practice Address - Street 1:46270 CORDOBA DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-2432
Practice Address - Country:US
Practice Address - Phone:248-854-8910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty