# POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295086080
- **Legal business name:** POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
- **Authorized official:** BHAVNA CHHABRIA MD (CEO)
- **Authorized official phone:** (570) 517-7393

## Contact information

- **Practice address:** 3 PARKINSONS RD, EAST STROUDSBURG, PA 18301-8087
- **Practice address phone:** (570) 424-8000
- **Practice address fax:** (570) 517-5100
- **Mailing address:** 3 PARKINSONS RD, EAST STROUDSBURG, PA 18301-8087
- **Mailing address phone:** (570) 424-8000
- **Mailing address fax:** (570) 517-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2012
- **Last updated:** 09/20/2012