Organization
ADVANCED PAIN CARE CLINIC 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
2200 E PARRISH AVE BLDG C, OWENSBORO, KY 42303-1449
(802) 477-7246
(812) 477-7240
Mailing address
PO BOX 5249, EVANSVILLE, IN 47716-5249
(812) 477-7246
(812) 477-7240
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942427
—
KY
Enumeration date
04/06/2018
Last updated
04/06/2018
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