NPI 1821695081

Modern Pain & Spine PC

Organisation Interventional Pain Medicine Physician Albuquerque, NM

Practice location

Address: 1540 Juan Tabo Blvd NE STE a, Albuquerque, NM 87112-4460
Phone: (505) 529-8511

Authorised official

Name: Athanasios Kostandinos Manole
Title: Medical Director
Phone: (505) 529-8511

Registered specialties (4)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in New Mexico →

Public Health & General Preventive Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in New Mexico →

Occupational Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in New Mexico →

Registry record

NPI: 1821695081
Entity type: Organization
NPI issued: 1 Oct 2020
Record last updated: 10 Jun 2026

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.