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Contact Information

PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
5303 SPECTRUM DR
FREDERICK, MD21703-7371
 Phone: 240-215-6047
 Fax: 301-703-8766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC

NPI Number 1295548766
LBN Legal business name PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Authorized official SUDHIR RAO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2025
Last updated 01/29/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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