INTERVENTIONAL SPINE AND JOINT SPECIALISTS LLC NPI 1104387521

NPI Information

  • NPI: 1104387521
  • Provider Name: INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 701 SUPERIOR AVE STE B
    MUNSTER, IN
    ZIP 46321
  • Phone: (219) 333-4757

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NPI Details

INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC is an interventional pain medicine pain medicine in Munster, 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. INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC NPI is 1104387521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 SUPERIOR AVE STE B
MUNSTER, IN
ZIP 46321-038
Phone: (219) 333-4757

The provider's authorized official is Prasanth Nuthakki .
The authorized official title is Ceo and has the following contact phone number (219) 836-0296.

The enumeration date for this NPI number is 3/28/2019 and was last updated on 12/9/2020.

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
1208100000XPhysical Medicine & RehabilitationNo
22081S0010XPhysical Medicine & RehabilitationSports MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes
4204R00000XElectrodiagnostic MedicineNo

What is NPI?

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This page was last updated on: 11/21/2025

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