Organization
NORTHWEST OHIO PAIN MANAGEMENT ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN C. TAMIRISA M.D. (PRESIDENT)
(419) 696-7646
Entity
Organization
Contact information
Practice address
2600 NAVARRE AVE, PAIN CLINIC, OREGON, OH 43616-3207
(419) 696-7646
Mailing address
2600 NAVARRE AVE, PAIN CLINIC, OREGON, OH 43616-3207
(419) 696-7646
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2633190
—
OH
Enumeration date
05/08/2006
Last updated
07/30/2007
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