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CONNECTICUT REGIONAL PAIN SPECIALISTSLLC NPI 1245472604


NPI Information

NPI: 1245472604
Provider Name: CONNECTICUT REGIONAL PAIN SPECIALISTS,LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 07D1102187

Address:
2447 WHITNEY AVE STE 2B
HAMDEN, CT
ZIP 06518
Phone: (203) 624-4400
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CONNECTICUT REGIONAL PAIN SPECIALISTS,LLC is an interventional pain medicine pain medicine in Hamden, CT. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CONNECTICUT REGIONAL PAIN SPECIALISTS,LLC NPI is 1245472604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2447 WHITNEY AVE STE 2B
HAMDEN, CT
ZIP 06518-211
Phone: (203) 624-4400
Fax: (203) 624-4402

The provider's authorized official is Mohan Sada Vodapally .
The authorized official title is Provider/practice Director and has the following contact phone number (203) 624-4400.

The CLIA number assigned to this NPI record is 07D1102187 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 3/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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