Organization
PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL K. TIWARI MD (OWNER)
(812) 333-7246
Entity
Organization
Contact information
Practice address
275 W 12TH ST, SUITE 206, PERU, IN 46970-1638
(812) 824-5690
(812) 824-5692
Mailing address
4330 S ROCKPORT RD, BLOOMINGTON, IN 47403-9765
(812) 333-7246
(812) 333-4471
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
208VP0000X
Pain Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389270
—
IN
Enumeration date
11/12/2009
Last updated
11/13/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us