Provider Demographics
NPI:1992567762
Name:MULTIDISCIPLINARY PAIN CENTER
Entity type:Organization
Organization Name:MULTIDISCIPLINARY PAIN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC & ADULT PAIN PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:M-IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-386-2444
Mailing Address - Street 1:3206 TOWER OAKS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4253
Mailing Address - Country:US
Mailing Address - Phone:502-386-2444
Mailing Address - Fax:240-240-9141
Practice Address - Street 1:3206 TOWER OAKS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4253
Practice Address - Country:US
Practice Address - Phone:240-240-9141
Practice Address - Fax:240-240-9141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MULTIDISCIPLINARY PAIN CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-26
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No281PC2000XHospitalsChronic Disease HospitalChildren