OrganizationActive
Pain Management Center of Southern Indiana, Inc.
NPI 1629063797 · Multi-Specialty Clinic/Center · Bloomington, IN
Provider details
- NPI number
- 1629063797
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kamal Tiwari, President(812) 333-7246
- License
- 50003765A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2920 Mcintyre Dr
Suite 150
Bloomington, IN 47403-4221
Phone: (812) 333-7246
Fax: (812) 333-4471
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5635
Bloomington, IN 47407-5635
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2009-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.