Organization
POTOMAC PAIN AND REHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADIL AJAY YUNIS M.D. (MEDICAL DIRECTOR)
(301) 934-2776
Entity
Organization
Contact information
Practice address
203 CENTENNIAL ST SUITE 104, LA PLATA, MD 20646-2540
(301) 934-2776
(301) 934-1417
Mailing address
PO BOX 2540, 203 CENTENNIAL ST SUITE 104, LA PLATA, MD 20646-2540
(301) 934-2776
(301) 934-1417
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512006300
—
MD
Enumeration date
04/17/2007
Last updated
04/25/2013
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