| NPI | 1508538109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA R. SANAPATI Owner 812-477-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-04-30 |