Organization
ANESTHESIOLOGY ASSOCIATES OF GLASGOW, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MURALIDHAR SANTAPURAM MD (OWNER)
(270) 651-8338
Entity
Organization
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-8338
(270) 651-3243
Mailing address
PO BOX 1947, GLASGOW, KY 42142-1947
(270) 651-8338
(270) 651-3243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061395
ANTHEM
KY
05
—
65943292
—
KY
05
—
74900929
—
KY
01
—
DB4671
TRICARE
KY
Enumeration date
06/28/2006
Last updated
05/20/2019
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