Organization
VALLEY ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGESWARARAO V CHALASANI MD (PRESIDENT)
(701) 234-1728
Entity
Organization
Contact information
Practice address
2301 25TH ST S, SUITE K, FARGO, ND 58103-6104
(701) 234-1728
(701) 234-1681
Mailing address
2301 25TH ST S, SUITE K, FARGO, ND 58103-6104
(701) 234-1728
(701) 234-1681
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
—
00757001
NORTH DAKOTA BLUE SHIELD
ND
05
—
10220
—
ND
01
—
53A49VA
MN BLUE SHIELD
MN
01
—
732218600
MN MEDICAID
MN
01
—
CN8139
RR MEDICARE
ND
Enumeration date
12/13/2006
Last updated
01/13/2011
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