Provider Demographics
NPI:1922443704
Name:GLOBAL PAIN MANAGEMENT
Entity type:Organization
Organization Name:GLOBAL PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HADDIJATOU
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-825-4050
Mailing Address - Street 1:8031 RITCHIE HIGHWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1067
Mailing Address - Country:US
Mailing Address - Phone:443-825-4050
Mailing Address - Fax:443-825-4051
Practice Address - Street 1:8031 RITCHIE HIGHWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21044-1067
Practice Address - Country:US
Practice Address - Phone:443-825-4050
Practice Address - Fax:443-825-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0065596207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAQ37-0001OtherCAREFIRST
DCAQ37-0001OtherCAREFIRST
MD289229OtherMEDICARE GROUP PTAN