Healthcare Provider Details

I. General information

NPI: 1679824486
Provider Name (Legal Business Name): PAIN SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2012
Last Update Date: 09/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HALL ST
CONCORD NH
03301-3488
US

IV. Provider business mailing address

21 EASTMAN AVE
BEDFORD NH
03110-6744
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-3003
  • Fax: 603-577-3331
Mailing address:
  • Phone: 603-647-2333
  • Fax: 603-647-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PRAVEEN K SUCHDEV
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 603-577-3003