Organization
MI INTERVENTIONAL PAIN AND REGENERATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATHINAIAH RAJU VORAKKARA MD (OWNER)
(248) 319-6630
Entity
Organization
Contact information
Practice address
42500 HAYES RD STE 800, CLINTON TOWNSHIP, MI 48038-6761
(248) 319-6630
Mailing address
4466 W BRISTOL RD STE 2A, FLINT, MI 48507-3170
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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