Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA RAMA SANAPATI MD (PRESIDENTR)
(812) 573-1207
Entity
Organization
Contact information
Practice address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
(812) 477-7240
Mailing address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8018
(812) 477-7246
(812) 477-7240
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/18/2018
Last updated
02/11/2025
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