Michigan Spine and Rehab Center

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

MICHIGAN SPINE AND REHAB CENTER

Practice address

18600 Van Horn Rd
Suite D
Woodhaven, MI 48183-3828

Phone

(734) 675-8127

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Abdul Choudhry

Title

Medical Doctor

Phone

(734) 675-8127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811018575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD",
            "address_2": "SUITE D",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833828",
            "telephone_number": "734-675-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD",
            "address_2": "SUITE D",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833828",
            "telephone_number": "734-675-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "734-675-8127"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meijer Inc (Meijer Pharmacy #070)
• Maddison Maree Menna
• Mattina Merucci, DPT
• Saadia R Mian, MD
• Michigan Center for Oral Surgery
• Midwestern Dental of Woodhaven
• Phyl-Kia Miller
• Sarah Elizabeth Miller, OTR
• Francis V Mitek, MD
• MJS Medical Supplies LLC

• Legal Medicine in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Legal Medicine 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.