NPI | 1952667859 |
---|---|
Former Legal Business Name | INTERVENTIONAL PAIN CONSULTANTS |
Entity Type | Organization |
Authorized Contact | TAREK HASSAN SHAHBANDAR CEO/President 219-750-9630 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2012-04-04 |
Last Update Date | 2015-10-20 |