Organization
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR B. MANNAM (OWNER)
(724) 812-5580
Entity
Organization
Contact information
Practice address
20826 ROUTE 19, CRANBERRY TWP, PA 16066-6028
(866) 216-7982
(724) 812-5682
Mailing address
736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/10/2022
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