Organization
FIRST STATE ANESTHESIA SERVICES LLC
Active
Organization
FIRST STATE ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIRUMALESHAWAR KANCHANA M.D. (PHYSICIAN COORDINATOR)
(302) 225-2380
Entity
Organization
Contact information
Practice address
4923 OGLETOWN STANTON RD, SUITE 100, NEWARK, DE 19713-2081
(302) 225-2380
(302) 225-2388
Mailing address
PO BOX 6385, WILMINGTON, DE 19804-0985
(302) 225-2380
(302) 225-2388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2818802000
AMERIHEALTH/KEYSTONE
—
01
—
7567859
AETNA
—
01
—
DG28116
RAILROAD MEDICARE
—
Enumeration date
01/22/2007
Last updated
06/13/2008
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