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Organization

TRISTATE PAIN SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHENDRA SANAPATI MF (PRESIDENT)
(812) 573-1207
Entity
Organization

Contact information

Practice address
6426 HIGHWAY 51 N STE A, HORN LAKE, MS 38637-2474
(662) 929-0200
(662) 929-0300
Mailing address
6426 HIGHWAY 51 N STE A, HORN LAKE, MS 38637-2474
(662) 929-0200
(662) 929-0300

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
10/23/2025
Last updated
01/27/2026
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