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CENTER FOR INTERVENTIONAL PAIN SPINE LLC NPI 1144527003


NPI Information

NPI: 1144527003
Provider Name: CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 08D2139181

Address:
405 SILVERSIDE RD STE 104
WILMINGTON, DE
ZIP 19809
Phone: (844) 365-7246
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CENTER FOR INTERVENTIONAL PAIN SPINE LLC is an interventional pain medicine pain medicine in Wilmington, DE. 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. CENTER FOR INTERVENTIONAL PAIN SPINE LLC NPI is 1144527003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 SILVERSIDE RD STE 104
WILMINGTON, DE
ZIP 19809-768
Phone: (844) 365-7246
Fax: (302) 792-1372

The provider's authorized official is Venkatesh Sundararajan .
The authorized official title is Partner and has the following contact phone number (610) 525-8200.

The CLIA number assigned to this NPI record is 08D2139181 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2011 and was last updated on 3/20/2021.


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
1111N00000XChiropractorNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5208VP0014XPain 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: 11/14/2023

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