Provider Demographics
NPI:1760779664
Name:BKC PAIN SPECIALISTS, LLC
Entity Type:Organization
Organization Name:BKC PAIN SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-387-7246
Mailing Address - Street 1:PO BOX 1573
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43301-1573
Mailing Address - Country:US
Mailing Address - Phone:740-387-7246
Mailing Address - Fax:740-387-7244
Practice Address - Street 1:1065 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6415
Practice Address - Country:US
Practice Address - Phone:740-387-7246
Practice Address - Fax:740-387-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.081178B207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty