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IDEAL PAIN MANAGEMENT LLC NPI 1154802874


NPI Information

NPI: 1154802874
Provider Name: IDEAL PAIN MANAGEMENT, LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 21D2165391

Address:
7505 OSLER DR STE 204
TOWSON, MD
ZIP 21204
Phone: (443) 519-5353
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IDEAL PAIN MANAGEMENT, LLC is a pain clinic center in Towson, MD. IDEAL PAIN MANAGEMENT, LLC NPI is 1154802874. The provider is registered as an organization entity type.

The provider's business location address is:

7505 OSLER DR STE 204
TOWSON, MD
ZIP 21204-737
Phone: (443) 519-5353
Fax: (443) 519-5317

The provider's authorized official is Monish B Gariwala .
The authorized official title is Owner and has the following contact phone number (443) 519-5353.

The CLIA number assigned to this NPI record is 21D2165391 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 2/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainD0061424MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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