Maryland Pain Clinic LLC
Physical Medicine & Rehabilitation in Rockville, MD. Organization (NPI-2).
NPI number1396246799
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1396246799
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Pain Clinic LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2018
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | D0074228 | MD | Yes |
Practice location
15825 Shady Grove Rd Ste 130Rockville, MD 20850-4031
Phone 240-660-2786
Mailing address
15005 Shady Grove Rd Ste 100Rockville, MD 20850-6341
Phone 240-660-2786 · Fax 301-576-3698
Authorized official
Mike Yuan
Physician
2406602786
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