Individual provider · Type 1 NPI
Amaresh Vydyanathan, MD, MS
Interventional Pain Medicine Physician · Bloomington, IL
Practice location
1015 S Mercer Ave
Bloomington, IL 61701-7107
Fax (309) 661-4532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 57.009044 (OH) |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036124700 (IL) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 036124700 (IL) |
Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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About NPI 1336319094
Amaresh Vydyanathan, MD, MS's National Provider Identifier is 1336319094, issued on Mar 8, 2008. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Bloomington, IL. The record was last updated on Sep 11, 2012.