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Contact Information

ADVANCED PAIN MANAGEMENT SERVICES, LLC
1050 KEY PKWY STE 103
FREDERICK, MD21702-4496
 Phone: 240-629-3939
 Fax: 240-629-3940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN MANAGEMENT SERVICES, LLC

NPI # 1194961854
LBN Legal business name ADVANCED PAIN MANAGEMENT SERVICES, LLC
Authorized official KHALID A KAHLOON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2008
Last updated 03/17/2018 - About 8 years ago
Identifiers
DC Other 181909 MEDICARE PTAN
MD Other 276470 MEDICARE PTAN (LOCALITY 01)
MD Other 162840 MEDICARE PTAN (LOCALITY 99)
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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