Provider Demographics
NPI:1023345261
Name:ALLEN AMBULATORY ANESTHESIA, PLLC
Entity type:Organization
Organization Name:ALLEN AMBULATORY ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRANI
Authorized Official - Middle Name:SHASHIKALA
Authorized Official - Last Name:EKANAYAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-822-2574
Mailing Address - Street 1:813 ROLLING MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5465
Mailing Address - Country:US
Mailing Address - Phone:732-822-2574
Mailing Address - Fax:972-908-3568
Practice Address - Street 1:4510 MEDICAL CENTER DR
Practice Address - Street 2:SUITE C-150
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1650
Practice Address - Country:US
Practice Address - Phone:972-547-1580
Practice Address - Fax:866-215-7317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty