Provider Demographics
NPI:1902429509
Name:APOLLO PAIN CENTER, LLC
Entity Type:Organization
Organization Name:APOLLO PAIN CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAYAK
Authorized Official - Middle Name:C
Authorized Official - Last Name:BELAMKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-536-4040
Mailing Address - Street 1:4000 W 106TH ST STE 123-153
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3500 DEPAUW BLVD STE 2082
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1137
Practice Address - Country:US
Practice Address - Phone:317-536-4040
Practice Address - Fax:317-536-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty