Organization
QC SUPPLEMENTAL ANESTHESIA STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRANJEEV SAHA MD (AUTHORIZED OFFICIAL)
(708) 714-7991
Entity
Organization
Contact information
Practice address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(563) 742-5000
Mailing address
PO BOX 689, LAKE FOREST, IL 60045-0689
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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