Organization
MARYLAND MEDICINAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KAHAN (MEMBER)
(410) 571-9000
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 150, ANNAPOLIS, MD 21401-3046
(410) 571-9000
(410) 571-1670
Mailing address
2002 MEDICAL PKWY, SUITE 150, ANNAPOLIS, MD 21401-3046
(410) 571-9000
(410) 571-1670
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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