# PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC

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

## Provider details

- **NPI number:** 1548073026
- **Authorized official:** SUDHIR R RAO MD (OWNER)
- **Authorized official phone:** (301) 703-8767

## Contact information

- **Practice address:** 1120 PROFESSIONAL CT, HAGERSTOWN, MD 21740-8040
- **Practice address phone:** (301) 760-3226
- **Practice address fax:** (301) 703-8766
- **Mailing address:** 2702 BACK ACRE CIR STE 290B, MOUNT AIRY, MD 21771-7769
- **Mailing address phone:** (301) 760-3317
- **Mailing address fax:** (301) 703-8766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 01/29/2025