Healthcare Provider Details

I. General information

NPI: 1528935848
Provider Name (Legal Business Name): MICHIGAN PAIN & NEUROSPINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29877 TELEGRAPH RD STE 304
SOUTHFIELD MI
48034-7660
US

IV. Provider business mailing address

29877 TELEGRAPH RD STE 304
SOUTHFIELD MI
48034-7660
US

V. Phone/Fax

Practice location:
  • Phone: 248-955-1700
  • Fax: 248-955-5653
Mailing address:
  • Phone: 248-955-1700
  • Fax: 248-955-5653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: HASHEM H ZOKARY
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 248-955-1700