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Organization
CENTERS FOR PAIN CONTROL, INC
Active
Organization
CENTERS FOR PAIN CONTROL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UJWALA S PURANIK (ADMINISTRATOR)
(219) 476-7246
Entity
Organization
Contact information
Practice address
204 LEGACY PLZ W, LA PORTE, IN 46350-5285
(219) 326-7246
Mailing address
2500 CALUMET AVE STE E, VALPARAISO, IN 46383-3735
(219) 476-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/10/2008
Last updated
02/11/2021
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