Provider Demographics
NPI:1962272617
Name:MEMORIAL ANESTHESIA ASSOCIATES
Entity type:Organization
Organization Name:MEMORIAL ANESTHESIA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANDRAVATI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-222-3942
Mailing Address - Street 1:6914 BRISBANE CT STE 300
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4924
Mailing Address - Country:US
Mailing Address - Phone:281-222-3942
Mailing Address - Fax:
Practice Address - Street 1:6914 BRISBANE CT STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4924
Practice Address - Country:US
Practice Address - Phone:281-222-3942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty