Organization
THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOBI PARAMANANDAM (MEMBER MANAGER)
(480) 889-0180
Entity
Organization
Contact information
Practice address
4611 E. SHEA BLVD. BLDG. 3, SUITE 190, PHOENIX, AZ 85028-4258
(480) 889-0180
(480) 889-0186
Mailing address
4611 E. SHEA BLVD. BLDG. 3, SUITE 170, PHOENIX, AZ 85028-4258
(480) 889-0180
(480) 889-0186
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
24521
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
24521
AZ
208VP0000X
Pain Medicine Physician
Primary
24521
AZ
208VP0014X
Interventional Pain Medicine Physician
24521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518589
—
AZ
Enumeration date
12/12/2007
Last updated
03/25/2025
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