# THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104009265
- **Authorized official:** DR. GOBI PARAMANANDAM (MEMBER MANAGER)
- **Authorized official phone:** (480) 889-0180

## Contact information

- **Practice address:** 4611 E. SHEA BLVD. BLDG. 3, SUITE 190, PHOENIX, AZ 85028-4258
- **Practice address phone:** (480) 889-0180
- **Practice address fax:** (480) 889-0186
- **Mailing address:** 4611 E. SHEA BLVD. BLDG. 3, SUITE 170, PHOENIX, AZ 85028-4258
- **Mailing address phone:** (480) 889-0180
- **Mailing address fax:** (480) 889-0186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | 24521 | AZ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 24521 | AZ | — |
| 208VP0000X | Pain Medicine Physician | 24521 | AZ | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 24521 | AZ | — |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 03/25/2025