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PAIN MD PLLC NPI 1770971616


NPI Information

NPI: 1770971616
Provider Name: PAIN MD, PLLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 23D2183882

Address:
5050 VILLA LINDE PKWY
SUITE A
FLINT, MI
ZIP 48532
Phone: (810) 230-7400
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PAIN MD, PLLC is a pain medicine anesthesiology in Flint, MI. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PAIN MD, PLLC NPI is 1770971616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5050 VILLA LINDE PKWY
SUITE A
FLINT, MI
ZIP 48532-436
Phone: (810) 230-7400

The provider's authorized official is Fayez Kotob .
The authorized official title is Owner/president and has the following contact phone number (810) 230-7400.

The CLIA number assigned to this NPI record is 23D2183882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 3/31/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine4301098964MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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