Provider Demographics
NPI:1477907657
Name:STERLING MEDICAL AND PAIN CENTER, PLLC
Entity Type:Organization
Organization Name:STERLING MEDICAL AND PAIN CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANJALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-831-1166
Mailing Address - Street 1:4100 WOODWARD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2197
Mailing Address - Country:US
Mailing Address - Phone:248-990-4728
Mailing Address - Fax:313-831-0020
Practice Address - Street 1:4100 WOODWARD AVE STE 2
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2197
Practice Address - Country:US
Practice Address - Phone:248-990-4728
Practice Address - Fax:313-831-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X
MI4301039441261QP2300X
MI261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain