Organization
INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHETAN S. PURANIK M.D. (PRESIDENT)
(219) 326-7246
Entity
Organization
Contact information
Practice address
2205 ROOSEVELT RD, VALPARAISO, IN 46383-2748
(219) 476-7246
(219) 476-1713
Mailing address
2205 ROOSEVELT ROAD, VALPARAISO, IN 46383
(219) 476-7246
(219) 476-1713
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
07/27/2020
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