Organization
ANESTHESIOLOGY PROFESSIONALS OF COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOKUL GONDI MD (PRESIDENT)
(803) 765-1838
Entity
Organization
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 765-1838
Mailing address
PO BOX 662, COLUMBIA, SC 29202-0662
(803) 765-1838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/02/2014
Last updated
06/30/2014
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