Pain Management Center of Southern Indiana, Inc.
NPI #1629063797 in Bloomington, Indiana
Provider Information
- NPI Number
- 1629063797
- Entity Type
- Organization
- Organization Name
- Pain Management Center of Southern Indiana, Inc.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 15, 2005
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 2920 MCINTYRE DR
- Address 2
- SUITE 150
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-4221
- Phone
- (812) 333-7246
Authorized Official
- Name
- KAMAL KUMAR TIWARI, MD
- Title
- PRESIDENT
- Phone
- (812) 333-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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