Organization Active NPI

Rehab Medical Specialist

  • Chronic Disease Hospital
  • Southfield, MI
National Provider Identifier
1811187149
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
4301082048 Issued in MI
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

Updated by the provider on Jul 22, 2008

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)CodeLicenseStatePrimary
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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.