Provider Demographics
NPI:1366693616
Name:MICHIGAN INSTITUTE OF PAIN AND HEADACHE, PC
Entity type:Organization
Organization Name:MICHIGAN INSTITUTE OF PAIN AND HEADACHE, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZIH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ISKANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-446-8448
Mailing Address - Street 1:21751 W 11 MILE RD STE 215
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3780
Mailing Address - Country:US
Mailing Address - Phone:313-446-8448
Mailing Address - Fax:248-356-3000
Practice Address - Street 1:21751 W. 11 MILE RD. STE. 215
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076
Practice Address - Country:US
Practice Address - Phone:313-446-8448
Practice Address - Fax:248-356-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain