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Contact Information

DANVILLE INTERVENTIONAL PAIN
300 WEST BROADWAY
DANVILLE, KY40422
 Phone: 859-236-9203
 Fax: 859-236-6754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for DANVILLE INTERVENTIONAL PAIN

NPI # 1093753683
LBN Legal business name DANVILLE INTERVENTIONAL PAIN
Authorized official KHURSHEED SIDDIQUI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
KY Medicaid 65942906
KY Other DD1588 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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