Mi Interventional Pain and Regenerative Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MI INTERVENTIONAL PAIN AND REGENERATIVE MEDICINE

Practice address

42500 Hayes Rd Ste 800
Clinton Township, MI 48038-6761

Phone

(248) 319-6630

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bathinaiah Raju Vorakkara, MD

Title

Owner

Phone

(248) 319-6630

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1154181600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD STE 2A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD STE 800",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386761",
            "telephone_number": "248-319-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI INTERVENTIONAL PAIN AND REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "VORAKKARA",
        "authorized_official_first_name": "BATHINAIAH",
        "authorized_official_middle_name": "RAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-319-6630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.