Organization
PAIN EXPERTS OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHDEV KUPPUSAMY (OWNER)
(480) 550-9393
Entity
Organization
Contact information
Practice address
3370 S MERCY RD STE 321, GILBERT, AZ 85297-0414
(480) 550-9393
Mailing address
3370 S MERCY RD STE 321, GILBERT, AZ 85297-0414
(480) 550-9393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
02/12/2020
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