# BA VENTURES LLC

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

## Provider details

- **NPI number:** 1154093847
- **Authorized official:** BALA AMBATI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 343-5000

## Contact information

- **Practice address:** 2435 NW KLINE ST, ROSEBURG, OR 97471-1687
- **Practice address phone:** (541) 673-8182
- **Practice address fax:** (541) 673-9083
- **Mailing address:** 2435 NW KLINE ST, ROSEBURG, OR 97471-1687
- **Mailing address phone:** (541) 343-5000

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2021
- **Last updated:** 07/12/2023