Organization
GOSHEN ANESTHESIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POOPALASINGHAM POOVENDRAN MD (PRESIDENT)
(574) 273-6546
Entity
Organization
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 273-6546
(574) 273-5295
Mailing address
P O BOX 661172, INDIANAPOLIS, IN 46266-0001
(574) 273-6546
(574) 273-5295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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