# PAIN MANAGEMENT ASSOCIATES

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

## Provider details

- **NPI number:** 1487837886
- **Authorized official:** DR. HADDIS T HAGOS M.D. (PRSIDENT)
- **Authorized official phone:** (301) 464-5575

## Contact information

- **Practice address:** 4000 MITCHELLVILLE RD. SUITE B 116, BOWIE, MD 20716
- **Practice address phone:** (301) 464-5575
- **Practice address fax:** (301) 805-9791
- **Mailing address:** 3247 ELEANORS GARDEN WAY, WOODBINE, MD 21797-7508
- **Mailing address phone:** (301) 704-0681
- **Mailing address fax:** (301) 805-9791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0059481 | MD | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 02/08/2008