# REGENERATIVE PAIN & SPINE OF INDIANA PC

> 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:** 1134093214
- **Authorized official:** SHOEB MOHIUDDIN MD (OWNER)
- **Authorized official phone:** (312) 300-3882

## Contact information

- **Practice address:** 7725 BROADWAY, MERRILLVILLE, IN 46410-4731
- **Practice address phone:** (312) 300-3882
- **Mailing address:** 7725 BROADWAY, MERRILLVILLE, IN 46410-4731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 10/02/2025