Provider Demographics
NPI:1912652603
Name:PAIN ZERO, LLC
Entity Type:Organization
Organization Name:PAIN ZERO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:TAIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHDOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-647-2526
Mailing Address - Street 1:PO BOX 738247
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-8247
Mailing Address - Country:US
Mailing Address - Phone:614-647-2526
Mailing Address - Fax:877-409-2415
Practice Address - Street 1:5031 FOREST DR STE C
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-7088
Practice Address - Country:US
Practice Address - Phone:614-647-2526
Practice Address - Fax:877-409-2415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty