Provider Demographics
NPI:1750513867
Name:COMPREHENSIVE PAIN MANAGEMENT & ELECTRODIAGNOSTICS, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE PAIN MANAGEMENT & ELECTRODIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-280-3463
Mailing Address - Street 1:PO BOX 35938
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44735-5938
Mailing Address - Country:US
Mailing Address - Phone:216-280-3463
Mailing Address - Fax:740-382-1030
Practice Address - Street 1:80 N PORTAGE PATH
Practice Address - Street 2:#PH7
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1144
Practice Address - Country:US
Practice Address - Phone:216-280-3463
Practice Address - Fax:740-382-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-23
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0897252081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty