Organization
GREENE COUNTY ANESTHESIA SERVICES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR B. MANNAM MD (PRESIDENT)
(724) 812-5580
Entity
Organization
Contact information
Practice address
4240 SECOR RD, TOLEDO, OH 43623-4238
(724) 812-5754
(724) 812-5581
Mailing address
736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
(724) 550-4211
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/07/2005
Last updated
08/12/2021
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