Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional Pain Management Services LLC

Organization Interventional Pain Medicine Physician · NPI 1710018247

Interventional Pain Management Services LLC is an Interventional Pain Medicine Physician in Florissant, Missouri. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

261 Dunn Rd
Florissant, MO 63031-7928
Phone: (314) 830-2600
Fax: (314) 830-2648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2421 Corporate Ctr Ste 105, Granite City, IL 62040-4195 — (314) 830-2600

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 036112334 (IL)

Record details

NPI number1710018247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mahendra Gunapooti — President · (314) 830-2600
NPI enumeratedMarch 8, 2007
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing addressPo Box 650, Edwardsville, IL 62025-0650

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