NPI 1154093847 · live from the CMS NPI Registry
Ba Ventures LLC
Anesthesiology in Roseburg, OR. National Provider Identifier 1154093847, active.
NPI record
| NPI | 1154093847 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 2435 Nw Kline St, Roseburg, OR 97471 |
| Practice phone | 541-673-8182 |
| Enumerated | September 30, 2021 |
| Last updated | July 12, 2023 |
| Authorized official | Bala Ambati, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.