NPI 1366686404

Pain Management Center of Southern Indiana

Organisation Pain Medicine Physician Indianapolis, IN

Practice location

Address: 8802 S Madison Ave, Indianapolis, IN 46227-6459
Phone: (812) 333-7246
Fax: (812) 889-6720
Mailing address: 4330 S Rockport Rd, Bloomington, IN 47403-9765

Authorised official

Name: Kamal K. Tiwari
Title: Owner
Phone: (812) 333-7246

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Indiana →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Indiana →

Registry record

NPI: 1366686404
Entity type: Organization
NPI issued: 20 Apr 2009
Record last updated: 15 Jun 2009

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.