OrganizationActive
Alpha Spine and Pain Clinic PLLC
NPI 1962088013 · Interventional Pain Medicine Physician · Everett, WA
Provider details
- NPI number
- 1962088013
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Praveen Mambalam, MD
Mailing address
Po Box 827
Bellevue, WA 98009-0827
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2023-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.