Organization
INTERVENTIONAL CENTER FOR PAIN
Active
Organization
INTERVENTIONAL CENTER FOR PAIN
Active
Other names
center for interventional pain management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURPREET SINGH PADDA MD (ANESTHESIOLOGY)
(314) 481-5000
Entity
Organization
Contact information
Practice address
5203 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
(314) 481-3037
Mailing address
5203 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
(314) 481-3037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118505
GHP
MO
01
—
149848
BLUE CROSS BLE SHILED
MO
01
—
175746
HEALTH LINK
MO
01
—
2001272
UHC
MO
01
—
4647144
AETNA
MO
01
—
7200000096
MEDICARE RAILROAD
MO
01
—
CJ6421
MEDICARE RAILROAD
MO
Enumeration date
05/30/2007
Last updated
01/19/2010
Update your record
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