| NPI | 1679088405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMA SAILAJA SANAPATI Manager 812-477-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |