Virginia Pain Center Inc.

Organization Active NPI Pain Medicine (Anesthesiology) Physician · Roanoke, VA

NPI 1194952291 · NPPES record last updated Jun 16, 2009

Key facts

NPI
1194952291
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
License
VA0101242119 (VA)
Legal business name
VIRGINIA PAIN CENTER INC.
Practice address
5372 Fallowater LN
Roanoke, VA 24018-0907
Phone
(540) 725-7364
Fax
(540) 725-7368
NPI assigned
Jun 16, 2009
Organization subpart
No

Authorized official

Name
Dr. Chheany Walter Ung, M.D.
Title
President
Phone
(540) 725-7364

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Virginia Pain Center Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207LP2900X VA0101242119 VA Yes

Addresses

Primary practice location

5372 Fallowater LN
Roanoke, VA 24018-0907

Mailing address

5372 Fallowater LN
Roanoke, VA 24018-0907
Phone (540) 725-7364

Other providers in Roanoke, VA

All providers in Roanoke, VA · Pain Medicine (Anesthesiology) Physician in Virginia

Sources for this page

Verify at the official NPI Registry.