Provider Demographics
NPI:1457858896
Name:KATHAR, MOHAMMED ABDUL (DPT)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:ABDUL
Last Name:KATHAR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16889 VAIL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-2197
Mailing Address - Country:US
Mailing Address - Phone:734-285-8736
Mailing Address - Fax:
Practice Address - Street 1:16889 VAIL DR
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2197
Practice Address - Country:US
Practice Address - Phone:734-285-8736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist