Provider Demographics
NPI:1801415419
Name:HYPNOS ANESTHESIA, LLC
Entity Type:Organization
Organization Name:HYPNOS ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OKERA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HANSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-596-3464
Mailing Address - Street 1:3 MCEVOY LN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4412
Mailing Address - Country:US
Mailing Address - Phone:678-596-3464
Mailing Address - Fax:
Practice Address - Street 1:3 MCEVOY LN
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4412
Practice Address - Country:US
Practice Address - Phone:678-596-3464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty