Provider Demographics
NPI:1750347829
Name:RESOURCE ANESTHESIOLOGY ASSOCIATES OF IL PC
Entity type:Organization
Organization Name:RESOURCE ANESTHESIOLOGY ASSOCIATES OF IL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PITHADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-637-2063
Mailing Address - Street 1:450 MAMARONECK AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-2436
Mailing Address - Country:US
Mailing Address - Phone:914-637-2063
Mailing Address - Fax:914-365-6307
Practice Address - Street 1:450 MAMARONECK AVE STE 201
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-2436
Practice Address - Country:US
Practice Address - Phone:914-637-2063
Practice Address - Fax:914-365-6307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty