Organization
MEDICAL PAIN MANAGEMENT,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILESH P UPADHYAY M.D. (PRESIDENT)
(256) 231-1231
Entity
Organization
Contact information
Practice address
701 LEIGHTON AVENUE, ANNISTON, AL 35207-5745
(256) 231-1231
(256) 231-1232
Mailing address
PO BOX 1738, ANNISTON, AL 36202-1738
(256) 231-1231
(256) 231-1232
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
9218
AL
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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