Provider Demographics
NPI:1508741752
Name:MONTGOMERY BRAIN AND SPINE
Entity type:Organization
Organization Name:MONTGOMERY BRAIN AND SPINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMINULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-585-7900
Mailing Address - Street 1:PO BOX 1757
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21203-1757
Mailing Address - Country:US
Mailing Address - Phone:301-585-7900
Mailing Address - Fax:
Practice Address - Street 1:2635 RIVA ROAD
Practice Address - Street 2:SUITE 118
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7430
Practice Address - Country:US
Practice Address - Phone:301-585-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty