Provider Demographics
NPI:1760945471
Name:ELITE PAIN AND SPINE INSTITUTE PLC
Entity Type:Organization
Organization Name:ELITE PAIN AND SPINE INSTITUTE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEESHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-374-2910
Mailing Address - Street 1:1810 S CRISMON RD STE 188
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-3900
Mailing Address - Country:US
Mailing Address - Phone:480-900-7373
Mailing Address - Fax:480-900-6844
Practice Address - Street 1:1810 S CRISMON RD STE 188
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-3900
Practice Address - Country:US
Practice Address - Phone:480-900-7373
Practice Address - Fax:480-900-6844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty