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LEGACY SPINE AND PAIN, LLC
NPI 1447755178
Clinic/Center - Pain in Bethesda, MD

Active since March 26, 2018
10421 MOTOR CITY DR # 342430, BETHESDA, MD 20817(301) 962-4278(833) 781-1112 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2020, Sep 19, 2019, Mar 26, 2018 (3 updates tracked since 2018).

About Legacy Spine And Pain, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY SPINE AND PAIN, LLC (NPI 1447755178) is a healthcare organization registered as a pain in Bethesda, Maryland and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Bowie and lists Ehsan Abdeshahian, Owner, as its authorized official.

NPPES Registry Identity

NPI1447755178
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameLEGACY SPINE AND PAIN, LLC
Location Address10421 MOTOR CITY DR # 342430Bethesda, MD 20817-9996
Mailing Address10421 Motor City Dr # 342430Bethesda, MD 20817-9996 · (301) 962-4278
Phone(301) 962-4278
Fax(833) 781-1112
Organization SubpartNo
Authorized OfficialEhsan AbdeshahianOwner · (410) 800-4466
Enumeration DateMarch 26, 2018
Last NPPES UpdateDecember 14, 20203 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1447755178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
10421 MOTOR CITY DR # 342430, Bethesda, MD 20817
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Secondary Practice Location 1

Location 14201 Northview Drive, Suite 104Bowie, MD 20716 · Phone (410) 800-4466

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Spine And Pain, LLC's NPI number?

The NPI number for Legacy Spine And Pain, LLC is 1447755178. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Legacy Spine And Pain, LLC located?

Legacy Spine And Pain, LLC is located at 10421 Motor City Dr # 342430, Bethesda, MD 20817. The listed phone number is (301) 962-4278.

What is Legacy Spine And Pain, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Legacy Spine And Pain, LLC was last updated on December 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.