Organization
MARYLAND PAIN & REGENERATIVE CENTER, LLC
Active
Other names
Dominion spine and pain, Dominion Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
RITU VARMA MD (OWNER/PHYSICIAN)
(419) 819-7394
Entity
Organization
Contact information
Practice address
3500 OLD WASHINGTON RD STE 202, WALDORF, MD 20602-3238
(301) 659-0003
Mailing address
2296 OPITZ BLVD, STE 110 - 120, WOODBRIDGE, VA 22191-3300
(301) 829-7693
(301) 829-7694
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/07/2019
Last updated
05/01/2026
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