Provider Demographics
NPI:1043849458
Name:ANESTHESIA SERVICES FOR GI LLC
Entity type:Organization
Organization Name:ANESTHESIA SERVICES FOR GI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DALJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-694-1445
Mailing Address - Street 1:6501 W DAILEY ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-3770
Mailing Address - Country:US
Mailing Address - Phone:623-694-1445
Mailing Address - Fax:
Practice Address - Street 1:14155 N 83RD AVE STE 122
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5640
Practice Address - Country:US
Practice Address - Phone:623-694-1445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty