Pain Management Holdings

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

L6174 Issued in TX

Legal business name

PAIN MANAGEMENT HOLDINGS

Practice address

1001 Palm Desert Dr
Garland, TX 75044-5011

Phone

(617) 504-4843

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrugeshkumar Kanaiyalal Shah, MD

Title

President

Phone

(617) 504-4843

Specialties & licenses 2

Addresses

Tax ID family

Pain Management Holdings2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pain Management Holdings, PA

  • Pain Clinic/Center
  • Irving, TX
  • NPI 1649450511
  NPD tax ID

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1902006729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831655",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750831655",
            "telephone_number": "617-504-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PALM DESERT DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445011",
            "telephone_number": "617-504-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MRUGESHKUMAR",
        "authorized_official_middle_name": "KANAIYALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-504-4843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H8442",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami K Padhiar, RPH
• Coleen D Padilla, BSN RN
• Richard A Page, M.D.
• Kavitha Pai, D.D.S.
• Pain Diagnostics and Treatment Center P a
• Borhan Pajoohi, DMD
• Roberto Palacios, DPT
• Hannah Pallarez
• Deborah Susan Ochoa Palomo, BS SLPA
• Kathy Pan

• Interventional Pain Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.