Provider Demographics
NPI:1447046131
Name:WESTERN STATES ANESTHESIA
Entity type:Organization
Organization Name:WESTERN STATES ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:KULJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPRAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DNAP
Authorized Official - Phone:559-567-8074
Mailing Address - Street 1:7081 N MARKS AVE STE 104
Mailing Address - Street 2:PMB 112
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0232
Mailing Address - Country:US
Mailing Address - Phone:559-567-8074
Mailing Address - Fax:
Practice Address - Street 1:1250 E ALMOND AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5606
Practice Address - Country:US
Practice Address - Phone:559-567-8074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty