| NPI | 1073293544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHDEV KUPPUSAMY Owner 480-550-9393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |