Organization Name: | ADVANCED SPINE & PAIN MANAGEMENT INC |
NPI Number: | 1376965376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUKARRAM A. KHAN (DO/OWNER) |
Mailing Address: | 320 Thomas Moore Pkwy Suite 202 Crestview Hills |
State: | KY US |
Postal Code: | 410173410 |
Phone Number: | 8594267246 |
Fax Number: | 5136246900 |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |