# PAIN SPECIALTY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1437795598
- **Authorized official:** DR. AHDEV KUPPUSAMY MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 550-9393

## Contact information

- **Practice address:** 3303 E BASELINE RD STE 104, GILBERT, AZ 85234-2739
- **Practice address phone:** (480) 550-9393
- **Mailing address:** 3370 S MERCY RD STE 321, GILBERT, AZ 85297-0417

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 04/27/2020
