# THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1467180455
- **Authorized official:** SUDHAKAR B. MANNAM (OWNER)
- **Authorized official phone:** (724) 812-5580

## Contact information

- **Practice address:** 20826 ROUTE 19, CRANBERRY TWP, PA 16066-6028
- **Practice address phone:** (866) 216-7982
- **Practice address fax:** (724) 812-5682
- **Mailing address:** 736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
- **Mailing address phone:** (201) 804-2800
- **Mailing address fax:** (201) 804-8883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2022
- **Last updated:** 08/10/2022