# INTERVENTIONAL PAIN MANAGEMENT LLC

> 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
- **Parent organization:** INTERVENTIONAL PAIN MANAGEMENT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306274097
- **Legal business name:** INTERVENTIONAL PAIN MANAGEMENT LLC
- **Authorized official:** UJWALA S PURANIK (ADMINISTRATOR)
- **Authorized official phone:** (630) 391-3994

## Contact information

- **Practice address:** 208 LEGACY PLZ W, LA PORTE, IN 46350-5285
- **Practice address phone:** (219) 326-7246
- **Practice address fax:** (219) 326-7234
- **Mailing address:** 208 LEGACY PLZ W, LA PORTE, IN 46350-5285
- **Mailing address phone:** (219) 326-7246
- **Mailing address fax:** (219) 326-7234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2013
- **Last updated:** 02/03/2025