Organization
PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL K. TIWARI MD (OWNER)
(812) 333-7246
Entity
Organization
Contact information
Practice address
12 W MAIN ST, BLOOMFIELD, IN 47424-1424
(812) 824-5690
(812) 824-5692
Mailing address
4330 S ROCKPORT RD, BLOOMINGTON, IN 47403-9765
(812) 333-7246
(812) 333-4471
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
208VP0000X
Pain Medicine Physician
Primary
—
IN
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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