Organization
OHIO STATE PAIN MANAGEMENT CENTER,LLC
Active
Other names
COLUMBUS INTERVENTIONAL PAIN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SACHIDA N MANOCHA MD (OWNER/PRESIDENT)
(614) 262-7246
Entity
Organization
Contact information
Practice address
3400 OLENTANGY RIVER RD, SUITE #100, COLUMBUS, OH 43202-1576
(614) 262-7246
(614) 262-4699
Mailing address
7036 CORPORATE WAY, DAYTON, OH 45459-4237
(937) 253-6448
(937) 253-5971
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-082815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392176
ANTHEM
OH
05
—
2843258
—
OH
01
—
612459400
FEDERAL WORKERS
OH
01
—
DF6837
RRMEDICARE
OH
Enumeration date
07/12/2006
Last updated
12/29/2008
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