Organization · Type 2 NPI

Minimally Invasive Pain Institute, PLLC

Interventional Pain Medicine Physician · Ashburn, VA

NPI number 1396074704 Active

Practice location

45189 Research Pl, Suite 140
Ashburn, VA 20147-2694

Fax (703) 997-2566

Mailing address

1508 Genesee St
Utica, NY 13502-5178

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X0101058239 (VA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XMD036385 (DC)
Pain Medicine Physician 208VP0000X0101058239 (VA)
Pain Medicine Physician 208VP0000XMD036385 (DC)
Interventional Pain Medicine Physician Primary 208VP0014X0101058239 (VA)
Interventional Pain Medicine Physician 208VP0014XMD036385 (DC)

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.

About NPI 1396074704

Minimally Invasive Pain Institute, PLLC's National Provider Identifier is 1396074704, issued on Dec 14, 2009. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Ashburn, VA. The record was last updated on May 20, 2014.