Organization
MG ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ A PATEL MD (PRESIDENT)
(574) 234-0049
Entity
Organization
Contact information
Practice address
53830 GENERATIONS DR, SOUTH BEND, IN 46635-1557
(574) 271-0893
(574) 234-0053
Mailing address
17501 GENERATIONS DR, SOUTH BEND, IN 46635-1589
(574) 234-0049
(574) 234-0053
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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