Provider Demographics
NPI:1992523047
Name:ACCESS ANESTHESIA LLC
Entity type:Organization
Organization Name:ACCESS ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMILPANAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-775-4140
Mailing Address - Street 1:3900 N LAKE SHORE DR APT 3D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3457
Mailing Address - Country:US
Mailing Address - Phone:408-775-4140
Mailing Address - Fax:312-312-9689
Practice Address - Street 1:3900 N LAKE SHORE DR APT 3D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3457
Practice Address - Country:US
Practice Address - Phone:408-775-4140
Practice Address - Fax:312-312-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Multi-Specialty