Organization
ADVANCED PAIN CARE CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA R SANAPATI MD (PRESIDENT)
(812) 214-4072
Entity
Organization
Contact information
Practice address
1813 WILLOW ST STE 3B, VINCENNES, IN 47591
(812) 477-7246
(812) 477-7240
Mailing address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
(812) 477-7240
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497580A
—
IN
Enumeration date
04/07/2017
Last updated
08/28/2018
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