Centers for Pain Control, INC

NPI #1790920452 in La Porte, Indiana

Provider Information

NPI Number: 1790920452
Entity Type: Organization
Organization Name: Centers for Pain Control, INC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Dec 10, 2008
Last Updated: Feb 11, 2021

Practice Location

Address: 204 LEGACY PLZ W
City: La Porte
State: Indiana
ZIP Code: 46350-5285
Phone: (219) 326-7246

Authorized Official

Name: UJWALA S PURANIK
Title: ADMINISTRATOR
Phone: (219) 476-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Anesthesiology	207L00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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DR. Simon Fu Feng, MD	Pain Medicine - Pain Medicine	Greenwood	AI Deep Dive
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DR. Kathryn L Park, MD	Pain Medicine - Pain Medicine	Mishawaka	AI Deep Dive

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