# THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770065997
- **Authorized official:** SUDHAKAR B. MANNAM M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (724) 812-5580

## Contact information

- **Practice address:** 236 ELM DR STE 105, WAYNESBURG, PA 15370-8265
- **Practice address phone:** (724) 812-5580
- **Mailing address:** 736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
- **Mailing address phone:** (201) 804-2800

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2018
- **Last updated:** 10/23/2023