Pain Management Center Of Southern Indiana
LBN: Pain Management Center Of Southern Indiana
Pain Management Center Of Southern Indiana is an health care organization with primary practice located at 275 W 12Th St Suite 206, Peru IN 46970-1638. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Pain Management Center Of Southern Indiana can be contacted via phone (812) 824-5690, or through Tiwari, Kamal K. via phone (812) 333-7246.
Contact Information
Primary practice address
275 W 12Th St Suite 206
Peru IN 46970-1638
Phone: (812) 824-5690
Fax: (812) 824-5692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | Indiana | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | Indiana |
Profile Details
| NPI number | 1720315781 |
|---|---|
| LBN Legal business name | Pain Management Center Of Southern Indiana |
| DBA Doing business as | |
| Authorized official | Tiwari, Kamal K. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2009 |
| Last updated | Nov 13th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720315781 | NPPES |
| Indiana | MEDICAID | 100389270 |
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