Provider Demographics
NPI:1629679543
Name:STERLING ANESTHESIA, LLC
Entity Type:Organization
Organization Name:STERLING ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIA / OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HARINI
Authorized Official - Middle Name:C
Authorized Official - Last Name:FERDINANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-378-1734
Mailing Address - Street 1:46169 WESTLAKE DRIVE STE 200
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165
Mailing Address - Country:US
Mailing Address - Phone:571-464-5050
Mailing Address - Fax:703-766-0216
Practice Address - Street 1:46169 WESTLAKE DR STE 200
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5875
Practice Address - Country:US
Practice Address - Phone:571-464-5050
Practice Address - Fax:703-766-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty