Provider Demographics
NPI:1689196198
Name:DHN ANESTHESIA PLLC
Entity Type:Organization
Organization Name:DHN ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:THANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-919-9100
Mailing Address - Street 1:3884 S 39TH DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-7957
Mailing Address - Country:US
Mailing Address - Phone:928-317-9100
Mailing Address - Fax:928-317-9300
Practice Address - Street 1:1030 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8345
Practice Address - Country:US
Practice Address - Phone:928-317-9100
Practice Address - Fax:928-317-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36152207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty