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ARIZONA PAIN AND SPINE INSTITUTE PLLC NPI 1316147242


NPI Information

NPI: 1316147242
Provider Name: ARIZONA PAIN AND SPINE INSTITUTE PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 03D2160042

Address:
2045 S VINEYARD
SUITE 131
MESA, AZ
ZIP 85210
Phone: (480) 986-7246
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ARIZONA PAIN AND SPINE INSTITUTE PLLC is an interventional pain medicine pain medicine in Mesa, AZ. 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. ARIZONA PAIN AND SPINE INSTITUTE PLLC NPI is 1316147242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2045 S VINEYARD
SUITE 131
MESA, AZ
ZIP 85210-889
Phone: (480) 986-7246
Fax: (480) 986-7252

The provider's authorized official is Asim Khan .
The authorized official title is Member and has the following contact phone number (312) 315-0024.

The CLIA number assigned to this NPI record is 03D2160042 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/21/2009.


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
12081P2900XPhysical Medicine & RehabilitationPain Medicine36668ARIZONANo
2208VP0014XPain MedicineInterventional Pain Medicine36668ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P1369677-9OTHERARIZONACORPORATION REGISTRATION
26209780001MEDICARE NSCARIZONA

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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