# ORTHOPEDIC ANESTHESIA CONSULTANTS PLLC

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

## Provider details

- **NPI number:** 1558557330
- **Authorized official:** SHANTANU SRINIVASAN MD (OWNER)
- **Authorized official phone:** (786) 390-1506

## Contact information

- **Practice address:** 985 GOETHALS DR, RICHLAND, WA 99352-3527
- **Practice address phone:** (786) 390-1506
- **Mailing address:** 400 E 10TH ST, WACONIA, MN 55387-4552
- **Mailing address phone:** (952) 442-9770
- **Mailing address fax:** (952) 442-3630

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 04/29/2008
