Provider Demographics
NPI:1447850995
Name:PAIN CARE CENTERS OF AMERICA PLLC
Entity type:Organization
Organization Name:PAIN CARE CENTERS OF AMERICA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:IMRAN
Authorized Official - Last Name:HAMEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-600-6124
Mailing Address - Street 1:1801 ROBERT FULTON DR STE 140
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-4347
Mailing Address - Country:US
Mailing Address - Phone:202-600-6124
Mailing Address - Fax:
Practice Address - Street 1:1801 ROBERT FULTON DR STE 140
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-4347
Practice Address - Country:US
Practice Address - Phone:202-600-6124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty