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

Southfield Regenerative Medical Center PLLC

Organization Pain Medicine Physician · NPI 1992565105

Southfield Regenerative Medical Center PLLC is a Pain Medicine Physician in Southfield, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17220 W 12 Mile Rd Ste 200
Southfield, MI 48076-2141
Phone: (313) 284-9433
Fax: (313) 284-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1992565105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Hijazi — Owner · (313) 284-9433
NPI enumeratedMarch 22, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address17220 W 12 Mile Rd Ste 205, Southfield, MI 48076-2114

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