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REHAB DIAGNOSTICS AND PAIN MEDICINE CENTER LLC NPI 1104211648


NPI Information

NPI: 1104211648
Provider Name: REHAB DIAGNOSTICS AND PAIN MEDICINE CENTER, LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2121 N BROAD ST
LANSDALE, PA
ZIP 19446
Phone: (267) 428-6454
Get Directions

REHAB DIAGNOSTICS AND PAIN MEDICINE CENTER, LLC is a pain medicine physical medicine rehabilitation in Lansdale, PA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. REHAB DIAGNOSTICS AND PAIN MEDICINE CENTER, LLC NPI is 1104211648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2121 N BROAD ST
LANSDALE, PA
ZIP 19446-054
Phone: (267) 428-6454
Fax: (267) 428-6457

The provider's authorized official is Yasser Gouda .
The authorized official title is Owner and has the following contact phone number (267) 428-6454.

The enumeration date for this NPI number is 4/1/2015 and was last updated on 6/19/2015.


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 & RehabilitationMD066786LPENNSYLVANIANo
2208VP0000XPain MedicinePain MedicineMD066786LPENNSYLVANIANo
32081P2900XPhysical Medicine & RehabilitationPain MedicineMD066786LPENNSYLVANIAYes

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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