East West Pain Institute, Pllc
NPI #1174992945 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1174992945
- Entity Type
- Organization
- Organization Name
- East West Pain Institute, Pllc
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Sep 22, 2015
- Last Updated
- Sep 29, 2015
Practice Location
- Address
- 425 N PARK BLVD
- Address 2
- SUITE 201
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48362-3189
- Phone
- (248) 709-2526
Authorized Official
- Name
- MR. SHUSHOVAN CHAKRABORTTY, MD
- Title
- PRESIDENT
- Phone
- (248) 709-2526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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