MEDICARE: INTEGRATED PAIN CONSULTANTS, LLC

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
2	261QM1300X	Multi-Specialty Clinic/Center

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	:	1538612965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED PAIN CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	2629 N SCOTTSDALE RD STE 200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-1370
Country	:	US
Telephone Number	:	480-626-2552
Fax Number	:	480-626-2551

Provider Business Practice Location Address
First Line	:	2629 N SCOTTSDALE RD STE 200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-1370
Country	:	US
Telephone Number	:	480-626-2552
Fax Number	:	480-626-2551

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BOGDAN ANGHEL
Credential	:	MD
Telephone Number	:	480-626-2552

Provider Enumeration Date	:	08/02/2016
Last Update Date	:	07/02/2026

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Directions to “INTEGRATED PAIN CONSULTANTS, LLC ” Practice Location

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