| NPI | 1144527003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESH SUNDARARAJAN Owner 844-365-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2024-09-06 |