Active NPI
Rehab Medical Specialist
- Chronic Disease Hospital
- Southfield, MI
National Provider Identifier
1811187149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- License
- 4301082048
- Legal business name
- REHAB MEDICAL SPECIALIST
- Practice address
- 24901 Northwestern Hwy Ste 205
Southfield, MI 48075-2205 - Phone
- (124) 866-3535
- Fax
- (124) 835-7324
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bnan A. Razoky, MD
- Title
- Internal Medicine/Geriatrics
- Phone
- (248) 663-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | 4301082048 | MI | Primary |
Addresses
Primary practice location
24901 Northwestern Hwy Ste 205
Southfield, MI 48075-2205
Mailing address
24901 Northwestern Hwy Ste 205
Southfield, MI 48075-2205
Phone (124) 866-3535
Other names 1
- Hart land NH.
National Provider Directory
National Provider DirectoryLocations
24901 Northwestern Hwy
Ste 205
Southfield, MI 48075
Phone (248) 663-5353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1811187149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24901 NORTHWESTERN HWY STE 205",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752205",
"telephone_number": "124-866-3535",
"fax_number": "124-835-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24901 NORTHWESTERN HWY STE 205",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752205",
"telephone_number": "124-866-3535",
"fax_number": "124-835-7324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB MEDICAL SPECIALIST",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "RAZOKY",
"authorized_official_first_name": "BNAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "INTERNAL MEDICINE/GERIATRICS",
"authorized_official_telephone_number": "12486635353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "MI",
"license": "4301082048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hart land NH.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.