NPI 1124316724

Sv Pain Management PC

Organisation Pain Medicine Physician Longmeadow, MA

Practice location

Address: 171 Dwight Rd STE 102, Longmeadow, MA 01106-1673
Phone: (413) 754-3793
Fax: (413) 754-3467

Authorised official

Name: Thenu Manikantan
Title: President
Phone: (413) 754-3793

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 209825 (MA)

Other Pain Medicine providers in Massachusetts →

Registry record

NPI: 1124316724
Entity type: Organization
NPI issued: 16 Jul 2011
Record last updated: 23 Oct 2011

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.