Provider Demographics
NPI:1558631424
Name:OAKHILL ANESTHESIA PC
Entity Type:Organization
Organization Name:OAKHILL ANESTHESIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MITA
Authorized Official - Middle Name:DEVEN
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-689-4933
Mailing Address - Street 1:11300 LANDY LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1569
Mailing Address - Country:US
Mailing Address - Phone:703-689-4933
Mailing Address - Fax:703-689-3849
Practice Address - Street 1:11300 LANDY LN
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-1569
Practice Address - Country:US
Practice Address - Phone:703-689-4933
Practice Address - Fax:703-689-3849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA 0101232722207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty