Provider Demographics
NPI:1033294806
Name:NARAYAN REHABILITATION INC
Entity Type:Organization
Organization Name:NARAYAN REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANOJKUMAR
Authorized Official - Middle Name:JAYDEVBHAI
Authorized Official - Last Name:BRAHMBHATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-269-8700
Mailing Address - Street 1:968 S VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-9712
Mailing Address - Country:US
Mailing Address - Phone:989-269-8700
Mailing Address - Fax:989-269-8715
Practice Address - Street 1:968 S VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-9712
Practice Address - Country:US
Practice Address - Phone:989-269-8700
Practice Address - Fax:989-269-8715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007971261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4168815Medicaid
MI236812Medicare Oscar/Certification