# PAIN MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770971616
- **Authorized official:** DR. FAYEZ KOTOB M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (810) 230-7400

## Contact information

- **Practice address:** 5050 VILLA LINDE PKWY, SUITE A, FLINT, MI 48532-3436
- **Practice address phone:** (810) 230-7400
- **Mailing address:** PO BOX 430, GRAND BLANC, MI 48480-0430
- **Mailing address phone:** (810) 230-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 4301098964 | MI | Yes |

## Other

- **Enumeration date:** 12/30/2014
- **Last updated:** 03/31/2015