| NPI | 1659931152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHDEV KUPPUSAMY Owner 480-550-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-02-12 |