Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southfield Regenerative Medical Center PLLC

Organization Pain Medicine Physician · NPI 1992565105

Southfield Regenerative Medical Center PLLC provides Pain Medicine Physician services 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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