Organization
COLUMBIA ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANANDA K PANIKKAR M.D. (OFFICER)
(570) 784-6118
Entity
Organization
Contact information
Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 784-6118
(570) 784-7046
Mailing address
38 MILLERTOWN RD, BLOOMSBURG, PA 17815-7103
(570) 784-6118
(570) 784-7046
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014361470001
—
PA
Enumeration date
03/14/2006
Last updated
08/22/2020
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