Advanced Pain Control Center, Pc

LBN: Advanced Pain Control Center, Pc
Advanced Pain Control Center, Pc is an health care organization with primary practice located at 4550 E 53Rd Street Suite 100, Davenport IA 52807-2710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Advanced Pain Control Center, Pc can be contacted via phone (563) 332-2152, or through Kafiluddi, Ronny via phone (563) 359-3949.

Contact Information

Primary practice address
4550 E 53Rd Street Suite 100 Davenport IA 52807-2710
Fax:
Website:
Authorized official contact:
Name: Kafiluddi, Ronny M.D., PHD

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1720048564
LBN Legal business name Advanced Pain Control Center, Pc
DBA Doing business as
Authorized official Kafiluddi, Ronny M.D., PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720048564 NPPES
Iowa MEDICAID 0464404

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