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MASSUMI REHABILITATION & PAIN MEDICINE LLC NPI 1629489117


NPI Information

NPI: 1629489117
Provider Name: MASSUMI REHABILITATION & PAIN MEDICINE, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
660 KENILWORTH DR
SUITE 200
TOWSON, MD
ZIP 21204
Phone: (410) 825-5905
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MASSUMI REHABILITATION & PAIN MEDICINE, LLC is a medical specialty clinic center in Towson, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MASSUMI REHABILITATION & PAIN MEDICINE, LLC NPI is 1629489117. The provider is registered as an organization entity type.

The provider's business location address is:

660 KENILWORTH DR
SUITE 200
TOWSON, MD
ZIP 21204-313
Phone: (410) 825-5905
Fax: (410) 825-7712

The provider's authorized official is Mehrdad Michael Massumi .
The authorized official title is President/owner and has the following contact phone number (410) 825-5905.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 5/19/2014.


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
1261QM2500XClinic/CenterMedical SpecialtyD0032831MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E15212MEDICARE UPIN
24422MMEDICARE PIN
3426194OTHERCOVENTRY
4091911000MEDICAIDMARYLAND

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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