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NPI 1649668542 · Interventional Pain Medicine Physician · Dearborn, MI
Provider details
- NPI number
- 1649668542
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Atif Bawahab, President(810) 813-4094
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13530 Michigan Ave
Dearborn, MI 48126-3574
Phone: (734) 673-5917
Fax: (314) 667-6915
Street-level locationGet directions
Mailing address
23169 Michigan Ave
Dearborn, MI 48124-0001
Other names (DBA / former)
- Doing business as
- Interventional Pain Specialists of Michigan
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2014-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.