# CHRONIC PAIN RESOURCES, LLC

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

## Provider details

- **NPI number:** 1366697658
- **Authorized official:** GULAM MUKHDOMI MD (PRESIDENT)
- **Authorized official phone:** (937) 751-5500

## Contact information

- **Practice address:** 4215 GANTZ RD, GROVE CITY, OH 43123
- **Practice address phone:** (937) 751-5500
- **Mailing address:** PO BOX 37, GROVE CITY, OH 43123-0037
- **Mailing address phone:** (937) 751-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | OH | Yes |

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 06/08/2018