| Columbus Pain Specialist | |
|
6096 E Main St Ste 103 Columbus OH 43213-4302 | |
| (614) 751-1500 | |
| (614) 751-1501 |
| Full Name | Columbus Pain Specialist |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 6096 E Main St Ste 103, Columbus, Ohio |
| Authorized Official Name and Position | Khaled L Amr (OWNER/INDEPENDENT) |
| Authorized Official Contact | 6147511500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Pain Specialist 6096 E Main St Ste 103 Columbus OH 43213-4302 Ph: (614) 751-1500 | Columbus Pain Specialist 6096 E Main St Ste 103 Columbus OH 43213-4302 Ph: (614) 751-1500 |
| NPI Number | 1942545546 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942545546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 2084P0800X (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | E 0007908 (Ohio) | Primary |
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