Provider Demographics
NPI:1811025877
Name:PAIN SOLUTIONS PLLC
Entity Type:Organization
Organization Name:PAIN SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SUCHDEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-577-3003
Mailing Address - Street 1:280 MAIN STREET
Mailing Address - Street 2:SUITE 330
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-647-2333
Mailing Address - Fax:603-647-2316
Practice Address - Street 1:280 MAIN STREET
Practice Address - Street 2:SUITE 330
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-577-3003
Practice Address - Fax:603-577-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2081P2900X
NH10439208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
31144Medicare UPIN
NHRE6512Medicare UPIN