Medical Rehab, P.C.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MEDICAL REHAB, P.C.

Practice address

19360 Livernois Ave
Detroit, MI 48221-1761

Phone

(313) 340-6000

Fax

(313) 340-1777

NPI assigned

Jan 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abdul Haq, M.D.

Title

President

Phone

(313) 340-6000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245376268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19360 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211761",
            "telephone_number": "313-340-6000",
            "fax_number": "313-340-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19360 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211761",
            "telephone_number": "313-340-6000",
            "fax_number": "313-340-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-340-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.