Medical Rehabilitation Center PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MEDICAL REHABILITATION CENTER PLLC

Practice address

26206 W 12 Mile Rd Ste 200
Southfield, MI 48034-8500

Phone

(313) 344-0663

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By 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

Bachu H Abraham, MD

Title

Owner

Phone

(313) 344-0663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1932777018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480372705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348500",
            "telephone_number": "313-344-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "BACHU",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-344-0663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Evaluations and Testing P.C.
• Medical Home Visits PLLC
• Medical Management Support Services Inc
• Medical Mobile Podiatry, PLLC
• Medical Rehab Services Inc
• Medical Service Company (Medical Service Companies)
• Medical Services of Detroit
• Medical Services of Detroit PC (greenfield medical)
• Medical Services of Detroit PC (Greenfield Medical Urgent Care)
• Medical Services of Detroit, PC

• Pain Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.