Provider Demographics
NPI:1497969802
Name:ANESTHESIA & PAIN MANAGEMENT ASSOCIATES INC
Entity Type:Organization
Organization Name:ANESTHESIA & PAIN MANAGEMENT ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:P
Authorized Official - Last Name:TALREJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-893-5000
Mailing Address - Street 1:PO BOX 12878
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-0878
Mailing Address - Country:US
Mailing Address - Phone:770-232-8611
Mailing Address - Fax:770-232-8618
Practice Address - Street 1:24 CREE DR
Practice Address - Street 2:ANESTHESIA DEPT
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-2639
Practice Address - Country:US
Practice Address - Phone:570-893-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010493590001Medicaid
PAAN1646743OtherBLUE CROSS
PAAN1646743OtherBLUE CROSS