Organization
ANESTHESIA OF SOUTHERN ILLINOIS LLC
Active
Parent organization
VASANTHA PAI, MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VASANTHA PAI, MD PC
Authorized official
DR. SUDHA PAI MD (ADMINISTRATOR)
(618) 698-4021
Entity
Organization
Contact information
Practice address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
(618) 355-0881
Mailing address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
(618) 355-0881
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/03/2012
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