# SHERIDAN ANESTHESIA SERVICES OF VIRGINIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124575592
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 600 W RIDGE RD, WYTHEVILLE, VA 24382-1044
- **Practice address phone:** (276) 228-0200
- **Mailing address:** PO BOX 452498, SUNRISE, FL 33345-2498
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 09/18/2019