Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA R. SANAPATI MD (PRESIDENT)
(812) 477-7246
Entity
Organization
Contact information
Practice address
6400 DUTCHMANS PKWY STE 60, LOUISVILLE, KY 40205-3341
(502) 780-6880
(502) 780-6911
Mailing address
1120 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8000
(128) 479-9500
(812) 437-0037
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710053770
—
IN
05
—
710053770
—
KY
Enumeration date
10/28/2019
Last updated
04/30/2022
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