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Organization

PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC.

Active
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Organization

PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUDHIR R RAO AO (OWNER/ PRACTITIONER)
(301) 703-8767
Entity
Organization

Contact information

Practice address
2702 BACK ACRE CIR STE 290B, MOUNT AIRY, MD 21771-7769
(301) 703-8767
(301) 703-8886
Mailing address
PO BOX 16270, BELFAST, ME 04915-4057
(301) 703-8767
(301) 703-8886

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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