Provider Demographics
NPI:1720831621
Name:PAIN RELIEF CHIROPRACTIC
Entity Type:Organization
Organization Name:PAIN RELIEF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:POUYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOUDIAN ESFAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-686-7471
Mailing Address - Street 1:11263 TRIANGLE LN
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4635
Mailing Address - Country:US
Mailing Address - Phone:240-833-8169
Mailing Address - Fax:240-833-8342
Practice Address - Street 1:11263 TRIANGLE LN
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4635
Practice Address - Country:US
Practice Address - Phone:240-833-8169
Practice Address - Fax:240-833-8342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty