Provider Demographics
NPI:1760812952
Name:ADVANCED PAIN MANAGEMENT INSTITUTE, LLC
Entity Type:Organization
Organization Name:ADVANCED PAIN MANAGEMENT INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-926-8368
Mailing Address - Street 1:PO BOX 35488
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44735-5488
Mailing Address - Country:US
Mailing Address - Phone:330-915-2225
Mailing Address - Fax:330-915-2205
Practice Address - Street 1:4368 DRESSLER RD NW
Practice Address - Street 2:SUITE 201A
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2771
Practice Address - Country:US
Practice Address - Phone:330-915-2225
Practice Address - Fax:330-915-2205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.088961261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain