# AMBULATORY CARE PAIN SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ambulatory Care Pain Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346534286
- **Authorized official:** SANJAY P THAKUR M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (423) 346-5566

## Contact information

- **Practice address:** 2497 S ROANE ST, HARRIMAN, TN 37748-8670
- **Practice address phone:** (423) 346-5566
- **Practice address fax:** (423) 346-5631
- **Mailing address:** PO BOX 368, WARTBURG, TN 37887-0368
- **Mailing address phone:** (423) 346-5566
- **Mailing address fax:** (423) 346-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 06/14/2011