Organization
SHADELAND ANESTHESIA & PAIN ASSOCIATES INC.
Active
Other names
Center for Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KOWLOWITZ MD (OWNER)
(317) 706-7246
Entity
Organization
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2332
(317) 706-7246
(317) 706-3419
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-3415
(317) 706-3419
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
154505
IN
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200160550A
—
IN
Enumeration date
06/24/2006
Last updated
04/11/2025
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