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INDIANA SPINE & PAIN INSTITUTE PC NPI 1811401136


NPI Information

NPI: 1811401136
Provider Name: INDIANA SPINE & PAIN INSTITUTE PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 15D2097374

Address:
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN
ZIP 47714
Phone: (312) 637-9861
Get Directions

INDIANA SPINE & PAIN INSTITUTE PC is an interventional pain medicine pain medicine in Evansville, IN. 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. INDIANA SPINE & PAIN INSTITUTE PC NPI is 1811401136. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4411 WASHINGTON AVE STE 100
EVANSVILLE, IN
ZIP 47714-805
Phone: (312) 637-9861
Fax: (770) 573-9513

The provider's authorized official is Mansoor A Khan .
The authorized official title is Owner and has the following contact phone number (812) 803-2312.

The CLIA number assigned to this NPI record is 15D2097374 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 5/31/2019.


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
1208100000XPhysical Medicine & RehabilitationNo
2363L00000XNurse PractitionerNo
3208VP0014XPain 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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