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 Pain Medicine, Pain Medicine | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2011-02-11 |
Last Update Date | 2024-09-06 |