Healthcare Provider Details

I. General information

NPI: 1194332973
Provider Name (Legal Business Name): Z PAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N 24TH ST STE 100
PHOENIX AZ
85008-4645
US

IV. Provider business mailing address

1401 N 24TH ST STE 100
PHOENIX AZ
85008-4645
US

V. Phone/Fax

Practice location:
  • Phone: 602-844-7246
  • Fax: 602-759-7246
Mailing address:
  • Phone: 602-844-7246
  • Fax: 413-327-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MINESH RAMESH ZAVERI
Title or Position: DOCTOR
Credential: DO
Phone: 602-844-7246