# MARYLAND PAIN CLINIC LLC

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

## Provider details

- **NPI number:** 1396246799
- **Authorized official:** MIKE YUAN MD (PHYSICIAN)
- **Authorized official phone:** (240) 660-2786

## Contact information

- **Practice address:** 15825 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850-4031
- **Practice address phone:** (240) 660-2786
- **Mailing address:** 15005 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-6341
- **Mailing address phone:** (240) 660-2786
- **Mailing address fax:** (301) 576-3698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0074228 | MD | Yes |

## Other

- **Enumeration date:** 02/22/2018
- **Last updated:** 07/10/2024