Organization
SRD ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR DAFTARY MD (OWNER)
(918) 682-9899
Entity
Organization
Contact information
Practice address
3800 W OKMULGEE ST, MUSKOGEE, OK 74401-4933
(918) 682-9899
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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