Ridge Lake Anesthesia

NPI #1881810414 in Memphis, Tennessee

Provider Information

NPI Number: 1881810414
Entity Type: Organization
Organization Name: Ridge Lake Anesthesia
Primary Specialty: Anesthesiology
Enumeration Date: Apr 18, 2007
Last Updated: Nov 15, 2010

Practice Location

Address: 825 RIDGE LAKE BLVD
City: Memphis
State: Tennessee
ZIP Code: 38120-9411
Phone: (901) 685-6150

Authorized Official

Name: DR. SUSAN MOKHTARI, M.D.
Title: ANESTHESIOLOGIST
Phone: (901) 685-6150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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