Organization
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR B. MANNAM M.D (MEDICAL DIRECTOR)
(724) 812-5580
Entity
Organization
Contact information
Practice address
236 ELM DR STE 105, WAYNESBURG, PA 15370-8265
(724) 812-5580
Mailing address
736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
10/23/2023
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