# POTOMAC PAIN AND REHABILITATION ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285850479
- **Authorized official:** FADIL AJAY YUNIS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 934-2776

## Contact information

- **Practice address:** 203 CENTENNIAL ST SUITE 104, LA PLATA, MD 20646-2540
- **Practice address phone:** (301) 934-2776
- **Practice address fax:** (301) 934-1417
- **Mailing address:** PO BOX 2540, 203 CENTENNIAL ST SUITE 104, LA PLATA, MD 20646-2540
- **Mailing address phone:** (301) 934-2776
- **Mailing address fax:** (301) 934-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 04/25/2013