SOUTHGATE ALLIED ANESTHESIA PLLC NPI 1689046070

NPI Details

SOUTHGATE ALLIED ANESTHESIA PLLC is an anesthesiologist assistant in Southgate, MI. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. SOUTHGATE ALLIED ANESTHESIA PLLC NPI is 1689046070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13460 FORT ST
SOUTHGATE, MI
ZIP 48195-138
Phone: (313) 263-5961
Fax: (313) 263-5963

The provider's authorized official is Atif Bawahab .
The authorized official title is Admin and has the following contact phone number (979) 574-7109.

The CLIA number assigned to this NPI record is 23D0897331 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2015 and was last updated on 10/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: