Healthcare Provider Details

I. General information

NPI: 1144034471
Provider Name (Legal Business Name): SYNERGY SPINE AND PAIN CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11233 LOCKWOOD DR UNIT 6-G
SILVER SPRING MD
20901-4554
US

IV. Provider business mailing address

12150 ANNAPOLIS RD STE 209
GLENN DALE MD
20769-9183
US

V. Phone/Fax

Practice location:
  • Phone: 240-929-6652
  • Fax:
Mailing address:
  • Phone: 240-929-6652
  • 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: DR. MADHAVI CHADA
Title or Position: OWNER
Credential: MD
Phone: 240-929-6652