MEDICARE: ANESTHESIA & PAIN CARE SERVICES, PLLC

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
1	208VP0014X	Interventional Pain Medicine Physician	37055	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518297399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA & PAIN CARE SERVICES, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1780
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40476-1780
Country	:	US
Telephone Number	:	859-353-5907
Fax Number	:	859-353-5683

Provider Business Practice Location Address
First Line	:	1024 IVAL JAMES BLVD
Second Line	:	SUITE C
City	:	RICHMOND
State	:	KY
Zip	:	40475-7622
Country	:	US
Telephone Number	:	859-353-5907
Fax Number	:	859-353-5683

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HAMMAD U MALIK
Credential	:	MD
Telephone Number	:	859-353-5907

Provider Enumeration Date	:	12/30/2009
Last Update Date	:	09/09/2015

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