Organization
OBSTETRIC ANESTHESIA CONSULTANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHTAQUE JUNEJA MD (HEAD OF GROUP)
(502) 629-2880
Entity
Organization
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-2880
Mailing address
3217 RELIABLE PKWY, CHICAGO, IL 60686-0001
(706) 650-0705
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
—
100021480
—
IN
05
—
65917841
—
KY
05
—
74900432
—
KY
Enumeration date
05/11/2006
Last updated
09/06/2008
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