Organization
INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHUL DESAI MD (OWNER)
(202) 808-8295
Entity
Organization
Contact information
Practice address
2021 K ST NW STE 615, WASHINGTON, DC 20006-1066
(202) 808-8295
Mailing address
2021 K ST NW STE 615, WASHINGTON, DC 20006-1066
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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