Greater Washington Pain Management LLC
Pain Medicine, Interventional Pain Medicine in Greenbelt, MD. Organization (NPI-2).
NPI number1619686540
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1619686540
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Washington Pain Management LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
9111 Edmonston Rd Ste 206Greenbelt, MD 20770-1546
Phone 301-664-2657 · Fax 301-664-2746
Mailing address
9111 Edmonston Rd Ste 206Greenbelt, MD 20770-1546
Phone 301-664-2657 · Fax 301-664-2746
Authorized official
Luis Telles-Hernandez
Owner/Authorized Official
3015248840
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