Provider Demographics
NPI:1245885813
Name:SUNSTAR ANESTHESIOLOGY & CRITICAL CARE CONSULTANTS PLLC
Entity type:Organization
Organization Name:SUNSTAR ANESTHESIOLOGY & CRITICAL CARE CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEWIS-POLITE MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-485-7152
Mailing Address - Street 1:PO BOX 93358
Mailing Address - Street 2:B18
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6402 MCLEOD DR, SUITE 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-487-6510
Practice Address - Fax:702-405-7508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty