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Organization

INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC

Active
Other names
Interventional Pain Management Services
Organization subpart
No

Provider details

NPI number
Authorized official
MAHENDRA GUNAPOOTI MD (PRESIDENT)
(314) 830-2600
Entity
Organization

Contact information

Practice address
2421 CORPORATE CTR STE 105, GRANITE CITY, IL 62040-4195
(314) 830-2600
(314) 830-2648
Mailing address
PO BOX 650, EDWARDSVILLE, IL 62025-0650
(314) 830-2600
(314) 830-2648

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/02/2018
Last updated
05/14/2026
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