Organization
PAIN MANAGEMENT CTR MERIDIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZHAR M PASHA (PRESIDENT)
(601) 703-5600
Entity
Organization
Contact information
Practice address
1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
(601) 703-5600
Mailing address
PO BOX 228, WEARE, NH 03281-0228
(601) 681-4985
(603) 529-5981
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07054364
—
MS
Enumeration date
05/03/2006
Last updated
05/21/2013
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