Provider Demographics
NPI:1275986309
Name:NOVA INTERVENTIONAL PAIN MANAGEMENT
Entity Type:Organization
Organization Name:NOVA INTERVENTIONAL PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-676-1463
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21028-0489
Mailing Address - Country:US
Mailing Address - Phone:410-676-1463
Mailing Address - Fax:
Practice Address - Street 1:1 BARRINGTON PL
Practice Address - Street 2:SUITE 103
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5607
Practice Address - Country:US
Practice Address - Phone:410-676-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060705208VP0014X
MD090190291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403376101Medicaid
MD455PMedicare PIN