INTERVENTIONAL PAIN CENTER PLLC NPI 1013385046

NPI Information

NPI: 1013385046
Provider Name: INTERVENTIONAL PAIN CENTER PLLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
27423 VAN DYKE AVE
WARREN, MI
ZIP 48093
Phone: (586) 757-4000
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INTERVENTIONAL PAIN CENTER PLLC is an ambulatory surgical clinic center in Warren, MI. INTERVENTIONAL PAIN CENTER PLLC NPI is 1013385046. The provider is registered as an organization entity type.

The provider's business location address is:

27423 VAN DYKE AVE
WARREN, MI
ZIP 48093-867
Phone: (586) 757-4000
Fax: (586) 755-9880

The provider's authorized official is Rajendra Bothra .
The authorized official title is Owner and has the following contact phone number (586) 757-4000.

The enumeration date for this NPI number is 9/8/2015 and was last updated on 2/20/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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