Provider Demographics
NPI:1437339686
Name:NAVANI PAIN MANAGEMENT INC.
Entity Type:Organization
Organization Name:NAVANI PAIN MANAGEMENT INC.
Other - Org Name:COMPREHENSIVE PAIN MANAGEMENT INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNU
Authorized Official - Middle Name:H
Authorized Official - Last Name:NAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-356-5292
Mailing Address - Street 1:3425 S BASCOM AVE.
Mailing Address - Street 2:STE 200
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008
Mailing Address - Country:US
Mailing Address - Phone:408-356-5292
Mailing Address - Fax:408-356-5307
Practice Address - Street 1:3425 S BASCOM AVE.
Practice Address - Street 2:STE 200
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008
Practice Address - Country:US
Practice Address - Phone:408-356-5292
Practice Address - Fax:408-356-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ070672Medicare PIN
CADH1737Medicare PIN