LEGACY SPINE AND PAIN LLC NPI 1447755178

NPI Information

NPI: 1447755178
Provider Name: LEGACY SPINE AND PAIN, LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
10421 MOTOR CITY DR # 342430
BETHESDA, MD
ZIP 20817
Phone: (301) 962-4278
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LEGACY SPINE AND PAIN, LLC is a pain clinic center in Bethesda, MD. LEGACY SPINE AND PAIN, LLC NPI is 1447755178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10421 MOTOR CITY DR # 342430
BETHESDA, MD
ZIP 20817-996
Phone: (301) 962-4278
Fax: (833) 781-1112

The provider's authorized official is Ehsan Abdeshahian .
The authorized official title is Owner and has the following contact phone number (410) 800-4466.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 12/14/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208100000X	Physical Medicine & Rehabilitation		No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
3	261QP3300X	Clinic/Center	Pain	Yes

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: 11/14/2023

NPI Synchronization or Removal

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