Organization
INTEGRATED PAIN TREATMENT CENTER
Active
Organization
INTEGRATED PAIN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI PANKHANIYA MD (PRESIDENT)
(415) 506-7284
Entity
Organization
Contact information
Practice address
4312 FEATHER RIVER DRIVE, SUITE C, STOCKTON, CA 95219
(209) 207-0555
Mailing address
1157 SCOTLAND DR, CUPERTINO, CA 95014-5061
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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