Provider Demographics
NPI:1528523255
Name:DONYA ANESTHESIA ENTERPRISE PLLC
Entity type:Organization
Organization Name:DONYA ANESTHESIA ENTERPRISE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-441-8090
Mailing Address - Street 1:7340 CIMARRON MARKET AVE
Mailing Address - Street 2:BUILDING A STE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-0061
Mailing Address - Country:US
Mailing Address - Phone:915-234-2268
Mailing Address - Fax:
Practice Address - Street 1:7340 CIMARRON MARKET AVE BUILDING A
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-0061
Practice Address - Country:US
Practice Address - Phone:915-234-2268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty