Powar Pain Clinic

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

24843 Issued in AZ

Legal business name

POWAR PAIN CLINIC

Practice address

1775 McCulloch Blvd N
Lake Havasu City, AZ 86403-6549

Phone

(928) 453-0696

Fax

(928) 453-0816

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mandeep Powar, MD

Title

Owner

Phone

(928) 453-0696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1235327917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MESQUITE AVE",
            "address_2": "SUITE B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035771",
            "telephone_number": "928-453-8500",
            "fax_number": "928-453-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 MCCULLOCH BLVD N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036549",
            "telephone_number": "928-453-0696",
            "fax_number": "928-453-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWAR PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "POWAR",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-453-0696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AZ",
            "license": "24843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Plank, RPH
• Pleasant Valley Dental Care, P.C.
• Sharon E. Polacca, PA-C
• Molly Port, LPC
• Juliana Posso, LDO
• Mandeep Powar, M.D.
• Ashley Renae Powell, FNP
• Karen Ann Powell, P T
• Mark H Powell, MSN, RN
• Tanya Powell, MA, LPC

• Pain Clinic/Center in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.