Organization
INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Parent organization
INTERVENTIONAL PAIN MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONAL PAIN MANAGEMENT LLC
Authorized official
UJWALA S PURANIK (COO/ADMINISTRATOR)
(219) 476-7246
Entity
Organization
Contact information
Practice address
201 MAIN ST, SUITE A, HOBART, IN 46342-4439
(219) 476-7246
(219) 476-1713
Mailing address
2211 ROOSEVELT RD, VALPARAISO, IN 46383-2748
(219) 476-7246
(219) 476-1713
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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