Healthcare Provider Details

I. General information

NPI: 1659072676
Provider Name (Legal Business Name): ARTHRITIS & PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9131 PISCATAWAY RD STE 310
CLINTON MD
20735-2543
US

IV. Provider business mailing address

7300 HANOVER DR STE 201
GREENBELT MD
20770-2247
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-5600
  • Fax:
Mailing address:
  • Phone: 301-345-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: YEVGENIY SHEYN
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 301-345-5600