Organization
KANE ANESTHESIOLOGY PROFESSIONAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM ABBASSI MD (PRESIDENT)
(814) 837-8585
Entity
Organization
Contact information
Practice address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
Mailing address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0446271
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019607640001
—
PA
01
—
05055
UPMC GROUP NUMBER
PA
01
—
1520061
HIGHMARK BLUE SHIELD GRP
PA
Enumeration date
11/29/2006
Last updated
04/22/2008
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