| NPI | 1649886847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHEETH PANDEY Owner 757-593-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |