Healthcare Provider Details

I. General information

NPI: 1811025877
Provider Name (Legal Business Name): PAIN SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MAIN STREET SUITE 330
NASHUA NH
03060
US

IV. Provider business mailing address

280 MAIN STREET SUITE 330
NASHUA NH
03060
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-3003
  • Fax: 603-577-2243
Mailing address:
  • Phone: 603-647-2333
  • Fax: 603-647-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number10439
License Number StateNH

VIII. Authorized Official

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