Provider Demographics
NPI:1528607256
Name:SUNRISE ANESTHESIA, LLC
Entity Type:Organization
Organization Name:SUNRISE ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANMEET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-839-3992
Mailing Address - Street 1:7222 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5207
Mailing Address - Country:US
Mailing Address - Phone:909-839-3992
Mailing Address - Fax:
Practice Address - Street 1:7222 N 18TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5207
Practice Address - Country:US
Practice Address - Phone:909-839-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-28
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty