# AFFILIATED KNEE PAIN SPECIALISTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nu Life Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699262006
- **Authorized official:** STEVE Z. KALLABAT MD (OWNER/MEDICAL DOCTOR)
- **Authorized official phone:** (928) 445-7085

## Contact information

- **Practice address:** 31333 SOUTHFIELD RD STE 103, BEVERLY HILLS, MI 48025-5473
- **Practice address phone:** (248) 952-9190
- **Practice address fax:** (248) 952-9190
- **Mailing address:** 45445 MOUND RD STE 105, SHELBY TOWNSHIP, MI 48317-5178
- **Mailing address phone:** (866) 207-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301070138 | MI | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 01/24/2023
