Organization
PFA PAIN & REHAB MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAUM FOTOVAT-AHMADI MD (OWNER / PHYSICIAN)
(734) 812-0429
Entity
Organization
Contact information
Practice address
27270 EVERGREEN RD, LATHRUP VILLAGE, MI 48076-3249
(734) 812-0429
Mailing address
27270 EVERGREEN RD, LATHRUP VILLAGE, MI 48076-3249
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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