Provider Demographics
NPI:1487533311
Name:PAIN DOC LLC
Entity type:Organization
Organization Name:PAIN DOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:SALONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJMUDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-843-4105
Mailing Address - Street 1:10854 NANTUCKET TER
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4425
Mailing Address - Country:US
Mailing Address - Phone:203-843-4105
Mailing Address - Fax:
Practice Address - Street 1:10854 NANTUCKET TER
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4425
Practice Address - Country:US
Practice Address - Phone:203-843-4105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty