Organization
NEUROSURGERY AND SPINE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEM ELTAHAWY MD (OWNER)
(248) 480-5424
Entity
Organization
Contact information
Practice address
28592 ORCHARD LAKE RD STE 333, FARMINGTON HILLS, MI 48334-2903
(855) 785-1110
(248) 282-0866
Mailing address
1221 BOWERS ST UNIT 940, BIRMINGHAM, MI 48012-7037
(855) 785-1110
(248) 282-0866
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144818436
—
MI
Enumeration date
01/04/2021
Last updated
09/24/2025
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