# INTERVENTIONAL PAIN INSTITUTE

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

## Provider details

- **NPI number:** 1114192978
- **Authorized official:** DR. RAMIS GHEITH MD (OWNER)
- **Authorized official phone:** (773) 251-5277

## Contact information

- **Practice address:** 1479 HWY 61, SUITE D, CRYSTAL CITY, MO 63019
- **Practice address phone:** (773) 251-5277
- **Mailing address:** 1479 HWY 61, SUITE D, CRYSTAL CITY, MO 63019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 2008003901 | MO | — |
| 208VP0000X | Pain Medicine Physician | 2008003901 | MO | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008