Organization
MITRA PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARSHAN B PATEL MD (MEDICAL DIRECTOR)
(919) 346-1031
Entity
Organization
Contact information
Practice address
605 ATTAIN ST STE 121, FUQUAY VARINA, NC 27526-1972
(919) 525-1501
Mailing address
605 ATTAIN ST STE 121, FUQUAY VARINA, NC 27526-1972
(919) 346-1031
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/13/2021
Last updated
09/27/2022
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