Modern Pain & Spine Pc

LBN: Modern Pain & Spine Pc
Modern Pain & Spine Pc is an health care organization with primary practice located at 1540 Juan Tabo Blvd Ne Ste A , Albuquerque NM 87112-4460. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Modern Pain & Spine Pc can be contacted via phone (505) 319-0231, or through Manole, Athanasios Kostandinos via phone (505) 800-7246.

Contact Information

Primary practice address
1540 Juan Tabo Blvd Ne Ste A Albuquerque NM 87112-4460
Phone: (505) 319-0231
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manole, Athanasios Kostandinos Doctor of Medicine (MD)
Phone: (505) 800-7246

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1821695081
LBN Legal business name Modern Pain & Spine Pc
DBA Doing business as
Authorized official Manole, Athanasios Kostandinos Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2020
Last updated Jul 19th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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