NPI | 1568070274 |
---|---|
Entity Type | Organization |
Authorized Contact | MAHENDRA R. SANAPATI President 812-477-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2022-04-30 |