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NPI Code Detail

MEDICARE: PAIN MANAGEMENT CONSULTANTS, INC

MEDICARE: PAIN MANAGEMENT CONSULTANTS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1730172677
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN MANAGEMENT CONSULTANTS, INC
Provider Business Mailing Address
First Line : 19250 BAGLEY RD
Second Line : #101
City : CLEVELAND
State : OH
Zip : 44130-3314
Country : US
Telephone Number : 440-891-8800
Fax Number : 440-891-1734
Provider Business Practice Location Address
First Line : 19250 BAGLEY RD
Second Line : #101
City : CLEVELAND
State : OH
Zip : 44130-3314
Country : US
Telephone Number : 440-891-8800
Fax Number : 440-891-1734
Authorized Official
Title or Position : PRESIDENT
Name : DR. NANDLAL VARYANI
Credential : MD
Telephone Number : 440-891-8800
Provider Enumeration Date : 08/25/2005
Last Update Date : 01/07/2015

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Directions to “PAIN MANAGEMENT CONSULTANTS, INC ” Practice Location

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