DANVILLE INTERVENTIONAL PAIN NPI 1093753683

NPI Information

  • NPI: 1093753683
  • Provider Name: DANVILLE INTERVENTIONAL PAIN
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 18D0990918
  • Address: 300 WEST BROADWAY
    DANVILLE, KY
    ZIP 40422
  • Phone: (859) 236-9203

Map and Directions

Get Directions

NPI Details

DANVILLE INTERVENTIONAL PAIN is a pain medicine anesthesiology in Danville, KY. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DANVILLE INTERVENTIONAL PAIN NPI is 1093753683. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 WEST BROADWAY
DANVILLE, KY
ZIP 40422
Phone: (859) 236-9203
Fax: (859) 236-6754

The provider's authorized official is Khursheed Siddiqui .
The authorized official title is President and has the following contact phone number (859) 236-9203.

The CLIA number assigned to this NPI record is 18D0990918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD1588OTHERKENTUCKYRAILROAD MEDICARE
265942906MEDICAIDKENTUCKY

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI