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A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI # | 1629447719 |
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| LBN Legal business name | GREAT LAKES INTERVENTIONAL PAIN MANAGEMENT,PLLC | ||||||||||||
| Authorized official | KAVITHA REDDY - (PHYSICIAN) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 09/18/2015 | ||||||||||||
| Last updated | 11/17/2016 - About 10 years ago | ||||||||||||
| Identifiers |
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GREAT LAKES INTERVENTIONAL PAIN MANAGEMENT,PLLC