Healthcare Provider Details

I. General information

NPI: 1376858720
Provider Name (Legal Business Name): ANODYNE HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11650 BELLEVILLE RD SUITE 105
BELLEVILLE MI
48111
US

IV. Provider business mailing address

PO BOX 1706
BELLEVILLE MI
48112-1706
US

V. Phone/Fax

Practice location:
  • Phone: 888-865-1280
  • Fax: 734-865-1234
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number5101016547
License Number StateMI

VIII. Authorized Official

Name: DR. FAWAD H RIZVI
Title or Position: DO
Credential:
Phone: 888-865-1280