Organization
MARYLAND PAIN CLINIC LLC
Active
Organization
MARYLAND PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE YUAN MD (PHYSICIAN)
(240) 660-2786
Entity
Organization
Contact information
Practice address
15825 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850-4031
(240) 660-2786
Mailing address
15005 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-6341
(240) 660-2786
(301) 576-3698
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0074228
MD
Other
Enumeration date
02/22/2018
Last updated
07/10/2024
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