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Organization
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Active
Organization
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR B. MANNAM M.D (MEDICAL DIRECTOR)
(724) 812-5580
Entity
Organization
Contact information
Practice address
236 ELM DR STE 105, WAYNESBURG, PA 15370-8265
(724) 812-5580
Mailing address
736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
10/23/2023
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