Organization
EAST WEST PAIN INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHUSHOVAN CHAKRABORTTY MD (PRESIDENT)
(248) 709-2526
Entity
Organization
Contact information
Practice address
425 N PARK BLVD, SUITE 201, LAKE ORION, MI 48362-3189
(248) 709-2526
Mailing address
425 N PARK BLVD, SUITE 201, LAKE ORION, MI 48362-3189
(248) 709-2526
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/29/2015
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