Pain Clinics of Minnesota P.a.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

871166400024 Issued in MN

Legal business name

PAIN CLINICS OF MINNESOTA P.A.

Practice address

4600 Oak Grove Parkway
Brooklyn Park, MN 55443

Phone

(651) 728-1867

NPI assigned

Feb 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amjad A. Safvi, M.D.

Title

Medical Director

Phone

(651) 728-1867

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1104286772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 OAK GROVE PARKWAY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 OAK GROVE PARKWAY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "651-728-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CLINICS OF MINNESOTA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "SAFVI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "651-728-1867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MN",
            "license": "871166400024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Pain Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.