Provider Demographics
NPI:1770522179
Name:PAIN CONTROL ASSOCIATES LLC
Entity type:Organization
Organization Name:PAIN CONTROL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJIVE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADLAKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-864-9494
Mailing Address - Street 1:PO BOX 783
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-0783
Mailing Address - Country:US
Mailing Address - Phone:219-864-9494
Mailing Address - Fax:219-864-9595
Practice Address - Street 1:7280 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-9526
Practice Address - Country:US
Practice Address - Phone:219-864-9494
Practice Address - Fax:219-864-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049448A207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INDN9639OtherRAILROAD MEDICARE
ILDE8409OtherRAILROAD MEDICARE
INDN9639OtherRAILROAD MEDICARE
IN237300Medicare PIN