Provider Demographics
NPI:1245685601
Name:AIM ANESTHESIA LLC
Entity type:Organization
Organization Name:AIM ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:RINKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-975-6206
Mailing Address - Street 1:PO BOX 411633
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-1633
Mailing Address - Country:US
Mailing Address - Phone:314-739-0126
Mailing Address - Fax:314-739-0790
Practice Address - Street 1:3550 MCKELVEY ROAD
Practice Address - Street 2:PREMIER SURGERY CENTER
Practice Address - City:BRIDGETOWN
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-741-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013030320207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty