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PAIN DIAGNOSIS AND TREATMENT CENTER PLLC NPI 1841489333


NPI Information

NPI: 1841489333
Provider Name: PAIN DIAGNOSIS AND TREATMENT CENTER, PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 37D2018714

Address:
8556 E 101ST ST
SUITE A
TULSA, OK
ZIP 74133
Phone: (918) 369-5511
Get Directions

PAIN DIAGNOSIS AND TREATMENT CENTER, PLLC is an interventional pain medicine pain medicine in Tulsa, OK. 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. PAIN DIAGNOSIS AND TREATMENT CENTER, PLLC NPI is 1841489333. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8556 E 101ST ST
SUITE A
TULSA, OK
ZIP 74133-033
Phone: (918) 369-5511
Fax: (918) 369-5512

The provider's authorized official is Bhadresh Bhakta .
The authorized official title is Member and has the following contact phone number (918) 369-5511.

The CLIA number assigned to this NPI record is 37D2018714 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 6/4/2014.


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
1208VP0014XPain MedicineInterventional Pain 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100522129MEDICARE PINOKLAHOMA

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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