Provider Demographics
NPI:1518358845
Name:CHHABRIA, RAJIV
Entity Type:Individual
Prefix:
First Name:RAJIV
Middle Name:
Last Name:CHHABRIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17916 FARMINGTON RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3104
Mailing Address - Country:US
Mailing Address - Phone:734-744-9236
Mailing Address - Fax:734-744-9237
Practice Address - Street 1:17916 FARMINGTON RD BLDG A
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3104
Practice Address - Country:US
Practice Address - Phone:734-744-9236
Practice Address - Fax:734-744-9237
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501008129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist