Midwest Pain Management Centers,llc

NPI #1962401745 in Munster, Indiana

Provider Information

NPI Number
1962401745
Entity Type
Organization
Organization Name
Midwest Pain Management Centers,llc
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Jul 14, 2005
Last Updated
Mar 24, 2011

Practice Location

Address
8840 CALUMET AVE
Address 2
SUITE 103
State
Indiana
ZIP Code
46321-2529
Phone
(219) 836-7246

Authorized Official

Name
SHANU KONDAMURI, M.D.
Title
MEDICAL DIRECTOR
Phone
(219) 836-7246

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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