Provider Demographics
NPI:1124503487
Name:UNIVERSAL ANESTHESTHA SERVICES
Entity type:Organization
Organization Name:UNIVERSAL ANESTHESTHA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:USAMA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GABR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-212-0777
Mailing Address - Street 1:2700 S ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4547
Mailing Address - Country:US
Mailing Address - Phone:248-212-0777
Mailing Address - Fax:248-575-4144
Practice Address - Street 1:2700 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4547
Practice Address - Country:US
Practice Address - Phone:248-212-0777
Practice Address - Fax:248-575-4144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty