Organization
GOLD COAST ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN KUMAR MD (OWNER)
(248) 342-6480
Entity
Organization
Contact information
Practice address
2335 W FULLERTON AVE, CHICAGO, IL 60647-3225
(347) 927-4037
(248) 621-5219
Mailing address
301 W GRAND AVE UNIT 324, CHICAGO, IL 60654-4640
(312) 724-9001
(312) 319-2597
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
01/14/2026
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