Ambulatory Anesthesia Services of St. Charles, LLC

NPI #1467634097 in Saint Peters, Missouri

Provider Information

NPI Number: 1467634097
Entity Type: Organization
Organization Name: Ambulatory Anesthesia Services of St. Charles, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 5, 2007
Last Updated: Dec 7, 2007

Practice Location

Address: 4203 S CLOVERLEAF DR
City: Saint Peters
State: Missouri
ZIP Code: 63376-6452
Phone: (636) 346-6051

Authorized Official

Name: DR. KRISHNA KANAKADANDILA, M.D.
Title: MANAGER
Phone: (636) 346-6051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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