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Organization

UNIVERSAL ANESTHESIA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUSHTAQUE JUNEJA (OWNER)
(502) 629-2880
Entity
Organization

Contact information

Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-2880
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100043480
KY
05
7100043490
KY
Enumeration date
04/18/2008
Last updated
08/08/2008
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