Provider Demographics
NPI:1023599883
Name:PIONEER PAIN MANAGEMENT & REHAB SERVICES PLLC
Entity type:Organization
Organization Name:PIONEER PAIN MANAGEMENT & REHAB SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ZULFI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:313-802-1142
Mailing Address - Street 1:4981 TRAIL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4563
Mailing Address - Country:US
Mailing Address - Phone:313-802-1142
Mailing Address - Fax:
Practice Address - Street 1:4981 TRAIL RIDGE CT
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4563
Practice Address - Country:US
Practice Address - Phone:313-802-1142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health