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
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