Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryland Pain and Spine Center, LLC

Organization Pain Medicine Physician · NPI 1265683460

Maryland Pain and Spine Center, LLC is a Pain Medicine Physician in Fulton, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7625 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2561
Phone: (703) 994-6655
Fax: (410) 730-2812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence D0047120 (MD)

Record details

NPI number1265683460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vajira Gunawardane — Director · (703) 994-6655
NPI enumeratedOctober 6, 2008
Last updated in NPPESJanuary 7, 2009
Mailing address7625 Maple Lawn Blvd, Suite 100, Fulton, MD 20759-2561

Other providers in Fulton