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INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC NPI 1972128478


NPI Information

NPI: 1972128478
Provider Name: INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 49D2294795

Address:
2021 K ST NW STE 615
WASHINGTON, DC
ZIP 20006
Phone: (202) 808-8295
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INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC is an interventional pain medicine pain medicine in Washington, DC. 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. INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC NPI is 1972128478. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2021 K ST NW STE 615
WASHINGTON, DC
ZIP 20006-066
Phone: (202) 808-8295

The provider's authorized official is Mehul Desai .
The authorized official title is Owner and has the following contact phone number (202) 808-8295.

The CLIA number assigned to this NPI record is 49D2294795 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/10/2020.


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
2208VP0000XPain MedicinePain MedicineNo
3225100000XPhysical TherapistNo
4208VP0014XPain 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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