Provider Demographics
NPI:1740531565
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:PRAVEEN
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 1:21 EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6744
Mailing Address - Country:US
Mailing Address - Phone:603-647-2333
Mailing Address - Fax:603-647-2316
Practice Address - Street 1:14 MAPLE ST
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6580
Practice Address - Country:US
Practice Address - Phone:603-524-2073
Practice Address - Fax:603-524-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30211579Medicaid
NH30211579Medicaid