OrganizationActive
Center for Interventional Pain Mangement PC
NPI 1740420231 · Interventional Pain Medicine Physician · Alexandria, VA
Provider details
- NPI number
- 1740420231
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Talha Siddiqui, Director(804) 832-3424
- License
- 0101233817 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6164 Fuller Ct
Alexandria, VA 22310-2540
Phone: (571) 257-9426
Fax: (571) 257-9839
Street-level locationGet directions
Mailing address
6164 Fuller Ct
Alexandria, VA 22310-2540
Registry dates
- Enumerated
- 2009-02-24
- Last updated
- 2015-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.