Pain Management 360 LLC
Pain Medicine, Interventional Pain Medicine in Huntington, West Virginia
1821717711- Practice location
- 551 21ST St, Huntington, WV 25703-1540
- Phone
- 917-935-7788
- Fax
- 304-577-8615
- Last updated
- April 26, 2024
Pain Management 360 LLC is a healthcare organization based in Huntington, WV. Pain Management 360 LLC practices in Huntington, WV. The NPI Number for Pain Management 360 LLC is 1821717711. The current practice location address for Pain Management 360 LLC is 551 21ST St, Huntington, WV 25703-1540 and can be reached out via phone at 917-935-7788 and via fax at 304-577-8615.
Provider Profile Details
- NPI Number
- 1821717711
- Provider Name
- Pain Management 360 LLC
- Provider Entity Type
- Organization
- Address
- 551 21ST St, Huntington, WV 25703-1540
- Phone Number
- 917-935-7788
- Fax Number
- 304-577-8615
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Organization Subpart
- No
- Authorized Official
- Rudy Malayil, MD · Owner · 917-645-2591
- Provider Enumeration Date
- August 24, 2022
- Last Update Date
- April 26, 2024
- Certification Date
- February 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 551 21ST St
Huntington, WV 25703-1540 - City
- Huntington
- State
- West Virginia
- Zip
- 25703-1540
- Phone Number
- 917-935-7788
- Fax Number
- 304-577-8615
Provider Business Mailing Address Details
- Address
- Po Box 33821
Belfast, ME 04915-0616 - City
- Belfast
- State
- ME
- Zip
- 04915-0616
- Phone Number
- 888-488-8289
- Fax Number
- 304-577-8615
License Information
- Taxonomy (1)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary
- Taxonomy (2)
- Physician Assistant · 363A00000X
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pain Management 360 LLC?
The NPI number of Pain Management 360 LLC is 1821717711. It was assigned on August 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Pain Management 360 LLC?
Pain Management 360 LLC is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X).
Where does Pain Management 360 LLC practice?
The practice location is 551 21ST St, Huntington, WV 25703-1540. The office can be reached at 917-935-7788 (phone) or 304-577-8615 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821717711 directly on the NPPES registry website.