Provider Demographics
NPI:1831532514
Name:SOLON ANESTHESIA, LLC
Entity type:Organization
Organization Name:SOLON ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMUDALLAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-498-0972
Mailing Address - Street 1:34501 AURORA RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3873
Mailing Address - Country:US
Mailing Address - Phone:440-498-0972
Mailing Address - Fax:440-498-0978
Practice Address - Street 1:34501 AURORA RD
Practice Address - Street 2:SUITE 306
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3873
Practice Address - Country:US
Practice Address - Phone:440-498-0972
Practice Address - Fax:440-498-0978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty