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SPINE AND PAIN CLINIC OF NORTH AMERICA LLC NPI 1275985970


NPI Information

NPI: 1275985970
Provider Name: SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 21D2257293

Address:
4001 FAIR RIDGE DR
SUITE 202
FAIRFAX, VA
ZIP 22033
Phone: (301) 873-9596
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SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC is a pain medicine anesthesiology in Fairfax, VA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC NPI is 1275985970. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4001 FAIR RIDGE DR
SUITE 202
FAIRFAX, VA
ZIP 22033-917
Phone: (301) 873-9596
Fax: (703) 520-7269

The provider's authorized official is Majid H. Ghauri .
The authorized official title is Owner and has the following contact phone number (301) 873-9596.

The CLIA number assigned to this NPI record is 21D2257293 - other - anesthesia/pain mgt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2016 and was last updated on 8/11/2023.


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
1208VP0000XPain MedicinePain Medicine0101233975VIRGINIANo
2207LP2900XAnesthesiologyPain MedicineYes

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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