# ADVANCED PAIN MEDICINE, PSC

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

## Provider details

- **NPI number:** 1245238492
- **Authorized official:** SAROJ B. DUBAL M.D. (PRESIDENT)
- **Authorized official phone:** (859) 271-3114

## Contact information

- **Practice address:** 101 PROSPEROUS PL, SUITE 300, LEXINGTON, KY 40509-1882
- **Practice address phone:** (859) 271-3114
- **Practice address fax:** (859) 271-0220
- **Mailing address:** PO BOX 23955, LEXINGTON, KY 40523-3955
- **Mailing address phone:** (859) 271-3114
- **Mailing address fax:** (859) 271-0220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 10/02/2014