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Organization
PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA
Active
Organization
PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL K. TIWARI MD (OWNER)
(812) 376-7246
Entity
Organization
Contact information
Practice address
3162 N NATIONAL RD, COLUMBUS, IN 47201-3170
(812) 376-7246
(812) 314-5001
Mailing address
4330 S ROCKPORT RD, BLOOMINGTON, IN 47403-9765
(812) 376-7246
(812) 314-5001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
208VP0000X
Pain Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389270
—
IN
Enumeration date
04/20/2009
Last updated
06/15/2009
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