# PIONEER ANESTHESIA GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619906310
- **Authorized official:** SUDHA B SHAH MD (PRESIDENT)
- **Authorized official phone:** (888) 304-6796

## Contact information

- **Practice address:** 3715 W 4100 S, WEST VALLEY CITY, UT 84120-5537
- **Practice address phone:** (888) 304-6796
- **Mailing address:** PO BOX 3750, SALT LAKE CITY, UT 84110-3750
- **Mailing address phone:** (888) 304-6796
- **Mailing address fax:** (801) 432-2670

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 09/14/2009