Doctors Network PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

DOCTORS NETWORK PC

Doing business as

Interventional Pain Specialists of Michigan

Practice address

13530 Michigan Ave
Dearborn, MI 48126-3574

Phone

(734) 673-5917

Fax

(314) 667-6915

NPI assigned

Dec 30, 2014

Last updated

Dec 30, 2014By 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

Atif Bawahab

Title

President

Phone

(810) 813-4094

Specialties & licenses 3

Addresses

Other names 1

• INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN Doing business as

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1649668542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23169 MICHIGAN AVE",
            "address_2": "SUITE #23135",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481240001",
            "telephone_number": "734-673-5917",
            "fax_number": "314-667-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "734-673-5917",
            "fax_number": "314-667-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS NETWORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BAWAHAB",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-813-4094"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Doan
• Linda Louise Dobis, D.D.S.
• Cayla Dobson
• Allan Edward Dobzyniak, M.D.
• Jenna Renee Docherty
• Dodo Care LLC
• Michele Diane Dodson, LLBSW
• Sydney Alexandra Doebel
• Mark Doerr, PA
• Joellen Doherty, COTA

• Interventional Pain Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.