Powar Pain Clinic

LBN: Jaidyn Med Care Ltd
Powar Pain Clinic is an health care organization with primary practice located at 1775 Mcculloch Blvd N , Lake Havasu City AZ 86403-6549. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Jaidyn Med Care Ltd can be contacted via phone (928) 453-0696, or through Powar, Mandeep via phone (928) 453-0696.

Contact Information

Primary practice address
1775 Mcculloch Blvd N Lake Havasu City AZ 86403-6549
Phone: (928) 453-0696
Fax: (928) 453-0816
Website:
Map and Directions
Authorized official contact:
Name: Powar, Mandeep Doctor of Medicine (MD)
Phone: (928) 453-0696

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X 24843 Arizona

Profile Details

NPI number 1447573621
LBN Legal business name Jaidyn Med Care Ltd
DBA Doing business as Powar Pain Clinic
Authorized official Powar, Mandeep Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 2nd, 2010 - about 14 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 1447573621 NPPES
Arizona MEDICAID 380957

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