Organization
ANESTHESIA PERIOPERATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MULAIKAL M.D. (PRESIDENT)
(410) 825-3131
Entity
Organization
Contact information
Practice address
110 WEST RD, SUITE 229, TOWSON, MD 21204-2316
(410) 825-3131
Mailing address
PO BOX 303, STEVENSON, MD 21153-0303
(410) 819-0710
(410) 819-0712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0021774
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20620200000
—
MD
01
—
364M
MEDICARE GROUP
MD
01
—
DA3696
RR MEDICARE
MD
Enumeration date
05/20/2006
Last updated
10/17/2007
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