Healthcare Provider Details

I. General information

NPI: 1366175887
Provider Name (Legal Business Name): AMERICAN PAIN AND WELLNESS CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 WISCONSIN AVE STE 1640
CHEVY CHASE MD
20815-4305
US

IV. Provider business mailing address

1300 4TH ST SE UNIT 203
WASHINGTON DC
20003-2569
US

V. Phone/Fax

Practice location:
  • Phone: 443-204-4919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIAM HAMEED
Title or Position: OWNER
Credential: MD
Phone: 443-204-4919