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FADI DELLY MD PC NPI 1992170187


NPI Information

NPI: 1992170187
Provider Name: FADI DELLY, MD PC

Doing Business As: PREMIER NEUROLOGY & PAIN SPECIALISTS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 23D2111252

Address:
2211 FORT ST
WYANDOTTE, MI
ZIP 48192
Phone: (734) 357-0505
Get Directions

FADI DELLY, MD PC is an interventional pain medicine pain medicine in Wyandotte, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. FADI DELLY, MD PC NPI is 1992170187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Neurology & Pain Specialists.

The provider's business location address is:

2211 FORT ST
WYANDOTTE, MI
ZIP 48192-135
Phone: (734) 357-0505
Fax: (734) 357-0506

The provider's authorized official is Fadi Delly .
The authorized official title is Owner and has the following contact phone number (248) 755-9499.

The CLIA number assigned to this NPI record is 23D2111252 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 6/13/2019.


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
12084N0008XPsychiatry & NeurologyNeuromuscular Medicine4301094922MICHIGANNo
22084N0400XPsychiatry & NeurologyNeurology4301094922MICHIGANNo
32084P2900XPsychiatry & NeurologyPain Medicine4301094922MICHIGANNo
4208VP0014XPain MedicineInterventional Pain Medicine4301094922MICHIGANYes

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: 5/5/2024

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