NPI 1528014362

Goshen Anesthesiology LLC

Organisation Specialist Goshen, IN

Practice location

Address: 200 High Park Ave, Goshen, IN 46526-4810
Phone: (574) 273-6546
Fax: (574) 273-5295
Mailing address: P O Box 661172, Indianapolis, IN 46266-0001

Authorised official

Name: Poopalasingham Poovendran
Title: President
Phone: (574) 273-6546

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1528014362
Entity type: Organization
NPI issued: 25 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.