OrganizationActive
East West Pain Institute, PLLC
NPI 1174992945 · Pain Medicine (Anesthesiology) Physician · Lake Orion, MI
Provider details
- NPI number
- 1174992945
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shushovan Chakrabortty, President(248) 709-2526
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
425 N Park Blvd
Suite 201
Lake Orion, MI 48362-3189
Phone: (248) 709-2526
Approximate (ZIP-level) locationGet directions
Mailing address
425 N Park Blvd
Lake Orion, MI 48362-3189
Registry dates
- Enumerated
- 2015-09-22
- Last updated
- 2015-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.