Organization
ADVANCED PAIN MANAGEMENT OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANRAJ KHOSLA MD (MEDICAL DIRECTOR / OWNER)
(480) 415-4253
Entity
Organization
Contact information
Practice address
2121 S MILL AVE STE 101, TEMPE, AZ 85282-2106
(480) 605-9700
(480) 605-9700
Mailing address
11522 MANCHESTER WAY, PORTER RANCH, CA 91326-2459
(480) 415-4253
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/11/2025
Last updated
02/09/2026
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