Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional Pain Specialists of Michigan PLLC

Organization Interventional Pain Medicine Physician · NPI 1124402607

Interventional Pain Specialists of Michigan PLLC is an Interventional Pain Medicine Physician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13460 Fort St
Southgate, MI 48195-1138
Phone: (313) 263-5961
Fax: (313) 263-5963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 5101016685 (MI)

Record details

NPI number1124402607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Siva Sripada — Admin · (810) 275-9152
NPI enumeratedJuly 15, 2015
Last updated in NPPESJuly 15, 2015
Mailing address14000 Dix Toledo Rd, Po Box 1915, Southgate, MI 48195-9500

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