Organization
ADVANCED PAIN CARE CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA R. SANAPATI MD (PRESIDENT)
(812) 477-7246
Entity
Organization
Contact information
Practice address
2330 LYNCH RD, EVANSVILLE, IN 47711-2998
(812) 477-7246
(812) 477-7246
Mailing address
PO BOX 5249, EVANSVILLE, IN 47716-5249
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
01055762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497580A
—
IN
Enumeration date
05/10/2018
Last updated
05/10/2018
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