Individual
LUIS TELLES-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9111 EDMONSTON RD STE 206, GREENBELT, MD 20770-1546
(301) 664-2657
(301) 664-2746
Mailing address
9111 EDMONSTON RD STE 206, GREENBELT, MD 20770-1546
(301) 664-2657
(301) 664-2746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D91595
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D91595
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D91595
MD
363AS0400X
Surgical Physician Assistant
C0003945
MD
Other
Enumeration date
03/12/2009
Last updated
11/19/2025
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