Provider Demographics
NPI:1295053312
Name:PAIN MANAGEMENT SOLUTION
Entity type:Organization
Organization Name:PAIN MANAGEMENT SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALHAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-620-4900
Mailing Address - Street 1:PO BOX 268977
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8977
Mailing Address - Country:US
Mailing Address - Phone:405-378-0600
Mailing Address - Fax:
Practice Address - Street 1:2124 SHADOWLAKE DR
Practice Address - Street 2:BUILDING O
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7441
Practice Address - Country:US
Practice Address - Phone:405-378-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22845208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty