Organization
PAIN MANAGEMENT RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAN S ABOU-CHAKRA MD (OWNER)
(405) 285-8506
Entity
Organization
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(405) 285-8506
Mailing address
PO BOX 30233, EDMOND, OK 73003-0004
(405) 285-8506
(888) 680-6040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35083590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019551
—
OH
01
—
H448300
GROUP MEDICARE
OH
Enumeration date
03/02/2015
Last updated
03/14/2024
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