Goshen Anesthesiology LLC

NPI #1528014362 in Goshen, Indiana

Provider Information

NPI Number: 1528014362
Entity Type: Organization
Organization Name: Goshen Anesthesiology LLC
Primary Specialty: Specialist
Enumeration Date: May 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 200 HIGH PARK AVE
City: Goshen
State: Indiana
ZIP Code: 46526-4810
Phone: (574) 273-6546

Authorized Official

Name: DR. POOPALASINGHAM POOVENDRAN, MD
Title: PRESIDENT
Phone: (574) 273-6546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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