NPI 1992933311 · live from the CMS NPI Registry
Ahp Holdco LLC
Anesthesiology in Petersburg, VA. National Provider Identifier 1992933311, active.
NPI record
| NPI | 1992933311 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 200 Medical Park Blvd, Petersburg, VA 23805 |
| Practice phone | 804-862-5000 |
| Mailing address | Po Box 740209, Atlanta, GA 30374 |
| Enumerated | June 24, 2009 |
| Last updated | June 24, 2009 |
| Authorized official | Greg Wachowiak, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.