| NPI | 1114479375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGESWARARAO V CHALASANI President 701-234-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2021-07-09 |