DEARBORN PAIN CENTER PLLC (NPI# 1730727850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730727850 |
| Entity Type | Organization |
| Organization Name | DEARBORN PAIN CENTER PLLC |
| Practice Address |
624 E 9 Mile Rd Hazel Park MI 48030-1842 |
| Mailing Address |
Po Box 365 Hazel Park MI 48030-0365 |
| Practice Telephone | 2486297497 |
| Mailing Telephone | 2486297497 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | MOHAMED GALAL SALEH (OWNER) |
| Authorized Official Telephone | 2486297497 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Neu Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174995203 | Dearborn Pain Center Pllc | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2015-10-28 |
| Street Address |
624 E 9 MILE RD |
| City | HAZEL PARK |
| State | MI |
| Zip Code | 48030-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801874516 | Mohammed Sirajul Haq | Internal Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2006-01-03 |
| 1962016360 | Yassa Pac LLC | Physician Assistant | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2020-09-02 |
| 1174995203 | Dearborn Pain Center Pllc | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2015-10-28 |
| 1114322559 | Kids First Pediatrics Pllc | Pediatrics | 624 E 9 Mile Rd, Ste 4, Hazel Park, MI 48030-1842 | 2014-10-28 |
| 1881021269 | K Star Enterprises LLC | Pharmacy | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2013-10-01 |
| 1477991545 | Hazel Park Urgent Care Pllc | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2013-06-11 |
| 1043557317 | Nemer Hamad | Clinical Ethicist | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2013-01-07 |
| 1992071070 | Tri County Md PC | Family Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2012-03-22 |
| 1134492499 | Phoenix Rehabilitation Service | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2012-02-17 |
| 1437392552 | Mohammed S Haq Md P C | Family Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710254511 | Dennis Lee Levine | Family Medicine | 1142 E. 9 Mile Rd, Hazel Park, MI 48030 | 2011-11-22 |
| 1316167471 | Irwin Arnold Goodman | Dentist | 23941 John R., Hazel Park, MI 48030 | 2007-04-30 |
| 1053447490 | Thomas N Weigel Dds PC | Dentist | 23411 John R Street, Hazel Park, MI 48030 | 2007-02-27 |
| 1871668400 | Back In Line Chiropractic PC | Chiropractor | 712 E. 9 Mile Rd, Hazel Park, MI 48030 | 2006-11-21 |
| 1215025796 | Christopher Yon Chang | Physical Medicine & Rehabilitation | 704 E 9 Mile Rd, Hazel Park, MI 48030 | 2006-10-10 |
| 1043320302 | Ashtar Dentistry P.C. | Dentist | 23528 John R. Rd., Hazel Partk, MI 48030 | 2006-08-30 |
| 1477544088 | Musib S Gappy | Internal Medicine | 23411 John R, Hazel Park, MI 48030 | 2005-11-02 |
| 1639210693 | Basima Ykao Ykao-daman | Dentist | 23528 John R. Rd., Hazel Park, MI 48030 | 2007-02-10 |
| 1871674275 | Eye On Health P.C. | Optometrist | 22039 John R Rd, Hazal Park, MI 48030 | 2006-10-18 |
| 1356470520 | Randy Gordon Fillion | Massage Therapist | 98 W Garfield Ave, Hazel Park, MI 48030-1128 | 2007-03-05 |
| Find all providers in zip 48030 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL PARK |
| Zip Code | 48030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.