Provider Demographics
NPI:1073904728
Name:GLOBAL PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:GLOBAL PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HADDIJATOU
Authorized Official - Middle Name:SECKA
Authorized Official - Last Name:OGUNSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-825-4050
Mailing Address - Street 1:8055 RITCHIE HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1067
Mailing Address - Country:US
Mailing Address - Phone:443-825-4050
Mailing Address - Fax:443-825-4051
Practice Address - Street 1:8055 RITCHIE HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1067
Practice Address - Country:US
Practice Address - Phone:443-825-4050
Practice Address - Fax:443-825-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7364870001Medicare NSC