Organization
PAIN EXPERTS OF ARIZONA PC
Active
Parent organization
PAIN EXPERTS OF ARIZONA PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN EXPERTS OF ARIZONA PC
Authorized official
AHDEV KUPPUSAMY (OWNER)
(480) 550-9393
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE STE 202, MESA, AZ 85206-4634
(480) 550-9393
Mailing address
PO BOX 29650, PHOENIX, AZ 85038-9650
(480) 550-9393
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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