Superior Interventional Pain PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SUPERIOR INTERVENTIONAL PAIN PLLC

Practice address

1190 E 12 Mile Rd Ste 2
Madison Heights, MI 48071-2648

Phone

(248) 629-6242

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mustafa Shukr

Title

MD

Phone

(313) 415-2233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1912724865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD STE 2",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712648",
            "telephone_number": "248-629-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD STE 2",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712648",
            "telephone_number": "248-629-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INTERVENTIONAL PAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "SHUKR",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-415-2233",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.