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

Interventional Pain & Anesthesia Consultants PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1164877692

Interventional Pain & Anesthesia Consultants PLLC provides Pain Medicine (Anesthesiology) Physician services in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
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

20100 Outer Dr
Dearborn, MI 48124-2647
Phone: (734) 604-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 5101017919 (MI)

Record details

NPI number1164877692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryant Ittiara — President · (734) 604-0017
NPI enumeratedMay 3, 2016
Last updated in NPPESMarch 16, 2017
Mailing address416 James Cir, Royal Oak, MI 48067-4545

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