Organization · Type 2 NPI

Ideal Pain Management, LLC

Interventional Pain Medicine Physician · Severna Park, MD

NPI number 1053259648 Active

Practice location

550 Governor Ritchie Hwy Ste K
Severna Park, MD 21146-2953

Fax (703) 542-3753

Mailing address

217 E Churchville Rd
Bel Air, MD 21014-3825

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1053259648

Ideal Pain Management, LLC's National Provider Identifier is 1053259648, issued on Mar 24, 2026. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Severna Park, MD. The record was last updated on Mar 24, 2026.