Provider Demographics
NPI:1609183581
Name:PREMIER PAIN & ANESTHESIA CONSULTANTS LLC
Entity Type:Organization
Organization Name:PREMIER PAIN & ANESTHESIA CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUXMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GAHLOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-282-8100
Mailing Address - Street 1:PO BOX 2356
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-0356
Mailing Address - Country:US
Mailing Address - Phone:740-282-8100
Mailing Address - Fax:740-282-8101
Practice Address - Street 1:114 BRADY CIR E
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1478
Practice Address - Country:US
Practice Address - Phone:740-282-8100
Practice Address - Fax:740-282-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPR9391051Medicare PIN