Provider Demographics
NPI:1558703041
Name:PREMIER ANESTHESIOLOGY LLC
Entity Type:Organization
Organization Name:PREMIER ANESTHESIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PARAMVIR
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:TULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-963-1853
Mailing Address - Street 1:1343 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5941
Mailing Address - Country:US
Mailing Address - Phone:480-776-2982
Mailing Address - Fax:480-917-7309
Practice Address - Street 1:1343 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 160
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5941
Practice Address - Country:US
Practice Address - Phone:480-776-2982
Practice Address - Fax:480-917-7309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service