NPI 1104387521

Interventional Spine and Joint Specialists, LLC

Organisation Interventional Pain Medicine Physician Munster, IN

Practice location

Address: 701 Superior Ave STE B, Munster, IN 46321-4038
Phone: (219) 333-4757
Mailing address: PO Box 3039, Munster, IN 46321-0039

Authorised official

Name: Prasanth Nuthakki
Title: Ceo
Phone: (219) 836-0296

Registered specialties (4)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Indiana →

Electrodiagnostic Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Indiana →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Indiana →

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X

Registry record

NPI: 1104387521
Entity type: Organization
NPI issued: 28 Mar 2019
Record last updated: 9 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.