INTEGRATED HEALTH GROUP P.C. NPI 1508808817

NPI Information

NPI: 1508808817
Provider Name: INTEGRATED HEALTH GROUP, P.C.

Doing Business As: MICHIGAN INSTITUTE OF PAIN MANAGEMENT

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
24430 FORD RD
SUITE B
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 565-6782
Get Directions

INTEGRATED HEALTH GROUP, P.C. is a pain clinic center in Dearborn Heights, MI. INTEGRATED HEALTH GROUP, P.C. NPI is 1508808817. The provider is registered as an organization entity type.
The provider Is Doing Business As Michigan Institute Of Pain Management.

The provider's business location address is:

24430 FORD RD
SUITE B
DEARBORN HEIGHTS, MI
ZIP 48127-280
Phone: (313) 565-6782
Fax: (313) 565-6784

The provider's authorized official is Hussein A Huraibi .
The authorized official title is President and has the following contact phone number (734) 476-4845.

The CLIA number assigned to this NPI record is 23D2273061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/23/2014.

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
1	261QP3300X	Clinic/Center	Pain			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4708730	MEDICAID	MICHIGAN
2	OH24267	OTHER		BLUE CROSS BLUE SHIELD OF MICHIGAN
3	0P12330	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »