Provider Demographics
NPI:1578748968
Name:PAIN AND REHABILITATION CONSULTANTS LLC
Entity Type:Organization
Organization Name:PAIN AND REHABILITATION CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EHAB
Authorized Official - Middle Name:F
Authorized Official - Last Name:ABDALAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-247-0850
Mailing Address - Street 1:5830 W THUNDERBIRD RD B-8
Mailing Address - Street 2:PMB 182
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306
Mailing Address - Country:US
Mailing Address - Phone:602-548-2200
Mailing Address - Fax:602-548-3013
Practice Address - Street 1:7400 W INDIAN SCHOOL RD
Practice Address - Street 2:114
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033
Practice Address - Country:US
Practice Address - Phone:623-247-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty