| NPI | 1053888560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA R. SANAPATI Incorporator 812-477-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-09-27 |