Provider Demographics
NPI:1619638954
Name:CAPITAL INTERVENTIONAL PAIN & SPINE CENTER LLC
Entity Type:Organization
Organization Name:CAPITAL INTERVENTIONAL PAIN & SPINE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKSHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-841-6600
Mailing Address - Street 1:9006 EWING DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3358
Mailing Address - Country:US
Mailing Address - Phone:301-841-6600
Mailing Address - Fax:301-841-6500
Practice Address - Street 1:3204 TOWER OAKS BLVD STE 440
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4250
Practice Address - Country:US
Practice Address - Phone:301-841-6600
Practice Address - Fax:301-841-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty