# LIGHTHOUSE SPINE CENTER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SpIntervention, Corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104592898
- **Authorized official:** ARAM SHAHINYAN MD (PRESIDENT)
- **Authorized official phone:** (301) 830-8040

## Contact information

- **Practice address:** 7307 MACARTHUR BLVD \# 200, BETHESDA, MD 20816-1014
- **Practice address phone:** (301) 830-8040
- **Practice address fax:** (833) 707-1950
- **Mailing address:** 6106 HARVARD AVE UNIT 365, GLEN ECHO, MD 20812-7508
- **Mailing address phone:** (301) 830-8040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/21/2021
- **Last updated:** 09/23/2022