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INTERVENTIONAL SPINE AND PAIN CENTERS LLC NPI 1568642601


NPI Information

NPI: 1568642601
Provider Name: INTERVENTIONAL SPINE AND PAIN CENTERS, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
8317 CALUMET AVE
SUITE A
MUNSTER, IN
ZIP 46321
Phone: (219) 513-2333
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INTERVENTIONAL SPINE AND PAIN CENTERS, LLC is a pain medicine anesthesiology in Munster, IN. 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. INTERVENTIONAL SPINE AND PAIN CENTERS, LLC NPI is 1568642601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8317 CALUMET AVE
SUITE A
MUNSTER, IN
ZIP 46321-737
Phone: (219) 513-2333
Fax: (219) 513-2334

The provider's authorized official is Shariq Ibrahim .
The authorized official title is Physician and has the following contact phone number (219) 513-2333.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 4/20/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology01062605AINDIANANo
2207LP2900XAnesthesiologyPain Medicine01062605AINDIANAYes

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
1I68319MEDICARE UPININDIANA

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: 5/5/2024

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