Healthcare Provider Details

I. General information

NPI: 1306117296
Provider Name (Legal Business Name): DBS&G INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39725 GARFIELD RD
CLINTON TOWNSHIP MI
48038-2799
US

IV. Provider business mailing address

39725 GARFIELD RD
CLINTON TOWNSHIP MI
48038-2799
US

V. Phone/Fax

Practice location:
  • Phone: 586-286-5442
  • Fax: 586-286-5194
Mailing address:
  • Phone: 586-286-5442
  • Fax: 586-286-5194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4301082675
License Number StateMI

VIII. Authorized Official

Name: DR. IMAN ABOU-CHAKRA
Title or Position: PAIN MANAGEMENT
Credential: M.D.
Phone: 586-286-6616