Organization
ALLEGHANY ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID DAKERMANDJI MD (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
ONE ARCH LANE, LOW MOOR, VA 24457
(540) 345-3556
(540) 342-2193
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
B59619
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036788
ANTHEM
VA
01
—
036792
ANTHEM
VA
01
—
064642
ANTHEM
VA
01
—
145812
ANTHEM
VA
01
—
431567
ANTHEM
VA
01
—
431570
ANTHEM
VA
01
—
451751
ANTHEM
VA
Enumeration date
07/12/2006
Last updated
08/30/2007
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