Provider Demographics
NPI:1063386936
Name:NEUROSURGERY AND SPINE CARE PLLC
Entity type:Organization
Organization Name:NEUROSURGERY AND SPINE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:HAZEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELTAHAWY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-480-5424
Mailing Address - Street 1:34020 7 MILE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3093
Mailing Address - Country:US
Mailing Address - Phone:248-516-5016
Mailing Address - Fax:248-516-5017
Practice Address - Street 1:42645 GARFIELD RD STE 103
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5022
Practice Address - Country:US
Practice Address - Phone:586-286-7246
Practice Address - Fax:586-329-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies