South Alabama Pain Management PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

28820 Issued in AL

Legal business name

SOUTH ALABAMA PAIN MANAGEMENT PLLC

Practice address

4325 Midmost Dr Ste a
Mobile, AL 36609-5545

Phone

(251) 517-1822

Fax

(251) 662-9482

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tariq Farooqui, MD

Title

Owner

Phone

(251) 517-1822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1457727232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MIDMOST DR STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095545",
            "telephone_number": "251-517-1822",
            "fax_number": "251-662-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 MIDMOST DR STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095545",
            "telephone_number": "251-517-1822",
            "fax_number": "251-662-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "FAROOQUI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-517-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "28820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohel Shakilahamed Soudagar, M.D.
• South Alabama Cares
• South Alabama Chiropractic P.C.
• South Alabama Clearview Counseling Services, LLC
• South Alabama Hearing Aid Service Inc
• South Alabama Pediatric Dentistry LLC
• South Alabama Regional Planning Commission
• South Alabama Smiles, LLC
• South Point Connection, LLC
• Southeast Joint Replacement, LLC

• Pain Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Pain Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.