Organization
DANVILLE ANESTHESIOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH NIGAM MD (PRESIDENT)
(434) 799-2375
Entity
Organization
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2375
Mailing address
635 MAIN STREET, JONES & ASSOCIATES, DANVILLE, VA 24541
(434) 793-8555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01396
BLUE SHIELD
NC
05
—
1184700569
—
VA
01
—
2561
ANTHEM BLUE CROSS
VA
05
—
8901396
—
NC
Enumeration date
10/28/2006
Last updated
10/02/2014
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