INTERVENTIONAL PAIN & ANESTHESIA CONSULTANTS PLLC NPI 1164877692

NPI Information

  • NPI: 1164877692
  • Provider Name: INTERVENTIONAL PAIN & ANESTHESIA CONSULTANTS PLLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 20100 OUTER DR
    DEARBORN, MI
    ZIP 48124
  • Phone: (734) 604-0017

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NPI Details

INTERVENTIONAL PAIN & ANESTHESIA CONSULTANTS PLLC is a pain medicine anesthesiology in Dearborn, 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. INTERVENTIONAL PAIN & ANESTHESIA CONSULTANTS PLLC NPI is 1164877692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20100 OUTER DR
DEARBORN, MI
ZIP 48124-647
Phone: (734) 604-0017

The provider's authorized official is Bryant T Ittiara .
The authorized official title is President and has the following contact phone number (734) 604-0017.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 3/16/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine5101017919MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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