Advanced Pain Care Clinic PSC
Organization Active NPI Interventional Pain Medicine Physician · Owensboro, KY
NPI 1255838215 · NPPES record last updated Apr 6, 2018
Key facts
- NPI
- 1255838215
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- ADVANCED PAIN CARE CLINIC PSC
- Practice address
- 2200 E Parrish Ave BLDG C
Owensboro, KY 42303-1449 - Phone
- (802) 477-7246
- Fax
- (812) 477-7240
- NPI assigned
- Apr 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Mahendra R. Sanapati, MD
- Title
- President
- Phone
- (812) 477-7246
Corporate family (same tax ID) 8
Practitioners 1
-
Mahendra R. Sanapati, M.D.
National Provider Directory
- Tax ID family
- Advanced Pain Care Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
2200 E Parrish Ave BLDG C
Owensboro, KY 42303-1449
Mailing address
PO Box 5249
Evansville, IN 47716-5249
Phone (812) 477-7246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65942427 | Medicaid | KY |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.