Provider Demographics
NPI:1053103747
Name:RICHMOND SPINE INTERVENTIONS AND PAIN CENTER, PC
Entity type:Organization
Organization Name:RICHMOND SPINE INTERVENTIONS AND PAIN CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-378-1800
Mailing Address - Street 1:3420 PUMP RD # 160
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1111
Mailing Address - Country:US
Mailing Address - Phone:804-426-4422
Mailing Address - Fax:804-378-5400
Practice Address - Street 1:1011 JOHNSTON WILLIS DR STE 230
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4808
Practice Address - Country:US
Practice Address - Phone:804-378-1800
Practice Address - Fax:804-378-5400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHMOND SPINE INTERVENTIONS AND PAIN CENTER, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty