Organization
HDL ANESTHESIA CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIM DURRANI MD (AUTHORIZED REPRESENTATIVE)
(313) 410-1120
Entity
Organization
Contact information
Practice address
5452 FORT ST, TRENTON, MI 48183-4601
(800) 242-1131
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H20277
BLUE SHIELD
MI
01
—
0H22802
BLUE SHIELD
MI
Enumeration date
05/16/2006
Last updated
01/31/2008
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