Kane Anesthesiology Professional Services Inc

Organization Active NPI Anesthesiology Physician · Kane, PA

NPI 1609943547 · NPPES record last updated Apr 22, 2008

Key facts

NPI
1609943547
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
License
MD0446271 (PA)
Legal business name
KANE ANESTHESIOLOGY PROFESSIONAL SERVICES INC
Practice address
4372 Route 6
Kane, PA 16735-3060
Phone
(814) 837-8585
NPI assigned
Nov 29, 2006
Organization subpart
No

Authorized official

Name
Dr. Shahram Abbassi, MD
Title
President
Phone
(814) 837-8585

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X MD0446271 PA Yes

Addresses

Primary practice location

4372 Route 6
Kane, PA 16735-3060

Mailing address

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585

Other identifiers

IdentifierTypeStateIssuer
05055OtherPAUPMC GROUP NUMBER
1520061OtherPAHIGHMARK BLUE SHIELD GRP
0019607640001MedicaidPA

Other providers in Kane, PA

All providers in Kane, PA · Anesthesiology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.