Provider Demographics
NPI:1831562719
Name:STRATEGY ANESTHESIA VIRGINIA, LLC
Entity type:Organization
Organization Name:STRATEGY ANESTHESIA VIRGINIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-740-7864
Mailing Address - Street 1:3943 IRVINE BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-3204
Mailing Address - Country:US
Mailing Address - Phone:310-740-7864
Mailing Address - Fax:
Practice Address - Street 1:502 W BROAD STREET (ROUTE 7)
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:703-894-2224
Practice Address - Fax:703-997-2566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty