Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Maryland Pain and Spine Center, LLC

Organization Pain Medicine Physician · NPI 1265683460

Maryland Pain and Spine Center, LLC provides Pain Medicine Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

7625 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2561 Not confirmed with CMS for 17 years — call before visiting
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