Provider Demographics
NPI:1619144631
Name:NEW PORT RICHEY ANESTHESIA SERVICES LLC
Entity Type:Organization
Organization Name:NEW PORT RICHEY ANESTHESIA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SREENIVASA
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:VANGARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-481-9678
Mailing Address - Street 1:5515 GULF DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4033
Mailing Address - Country:US
Mailing Address - Phone:727-481-9678
Mailing Address - Fax:
Practice Address - Street 1:5515 GULF DR
Practice Address - Street 2:SUITE B
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4033
Practice Address - Country:US
Practice Address - Phone:727-481-9678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty