Provider Demographics
NPI:1336798388
Name:GLOBAL PAIN MANAGEMENT
Entity type:Organization
Organization Name:GLOBAL PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HADDITOUTOU
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-825-4051
Mailing Address - Street 1:8900 COLUMBIA 100 PARKWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-7346
Mailing Address - Country:US
Mailing Address - Phone:443-825-4051
Mailing Address - Fax:
Practice Address - Street 1:8900 COLUMBIA 100 PARKWAY
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-7346
Practice Address - Country:US
Practice Address - Phone:443-825-4051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL PAIN MGT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty