Provider Demographics
NPI:1043332406
Name:PM&R SERVICES PLLC
Entity Type:Organization
Organization Name:PM&R SERVICES PLLC
Other - Org Name:RAMAN KAPUR M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-899-4785
Mailing Address - Street 1:PO BOX 2084
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116-2084
Mailing Address - Country:US
Mailing Address - Phone:703-899-4785
Mailing Address - Fax:703-242-7848
Practice Address - Street 1:10810 DARNESTOWN RD
Practice Address - Street 2:SUITE NUMBER 202
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2675
Practice Address - Country:US
Practice Address - Phone:703-899-4785
Practice Address - Fax:703-242-7848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052229208100000X
MDD0036800208100000X
DCMD17306208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E63730Medicare UPIN
490950Medicare ID - Type Unspecified