# OBA, PLLC

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

## Provider details

- **NPI number:** 1386694420
- **Authorized official:** MUSHTAQUE JUNEJA MD (HEAD OF GROUP)
- **Authorized official phone:** (502) 629-2880

## Contact information

- **Practice address:** 223 E GRAY ST, TOWERS NORTH, STE. 804, LOUISVILLE, KY 40202-2011
- **Practice address phone:** (502) 629-2880
- **Mailing address:** 804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020