# BRANDYWINE PAIN MANAGEMENT P A

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

## Provider details

- **NPI number:** 1801943824
- **Authorized official:** PRAMOD K YADHATI M.D. (PRESIDENT)
- **Authorized official phone:** (302) 998-2585

## Contact information

- **Practice address:** 4512 KIRKWOOD HWY, SUITE 200, WILMINGTON, DE 19808-5123
- **Practice address phone:** (302) 998-2585
- **Practice address fax:** (302) 998-3394
- **Mailing address:** PO BOX 3012, WILMINGTON, DE 19804-0012
- **Mailing address phone:** (302) 224-5678
- **Mailing address fax:** (302) 224-2848

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001186102 | — | DE |