Individual
MR. AMIR SADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-2751
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19934
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173349A
—
GA
01
—
4718136
AETNA
SC
05
—
AN2523
—
SC
01
—
NPI #
BLUE CROSS
SC
01
—
P01714557
RAILROAD MEDICARE
SC
Enumeration date
01/18/2016
Last updated
12/28/2016
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