Healthcare Provider Details

I. General information

NPI: 1609284603
Provider Name (Legal Business Name): PAIN & SPINE CENTER OF CHARLOTTESVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2014
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 SEMINOLE LN STE 500
CHARLOTTESVILLE VA
22901-8304
US

IV. Provider business mailing address

2335 SEMINOLE LN STE 500
CHARLOTTESVILLE VA
22901-8304
US

V. Phone/Fax

Practice location:
  • Phone: 434-328-2774
  • Fax: 434-328-2776
Mailing address:
  • Phone: 434-328-2774
  • Fax: 434-328-2776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number0101232914
License Number StateVA

VIII. Authorized Official

Name: AKHTAR PURVEZ
Title or Position: OWNER
Credential: MD
Phone: 434-328-2774