| NPI | 1720661044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEESHA N MOHAMMED Practice Manager 855-699-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363AS0400X Physician Assistant, Surgical | |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 174400000X Specialist | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |