Provider Demographics
NPI:1518999119
Name:M SOHAIL JILANI MD PLLC
Entity Type:Organization
Organization Name:M SOHAIL JILANI MD PLLC
Other - Org Name:PHYSICAL MEDICINE & REHABILITATION OF MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:SOHAIL
Authorized Official - Last Name:JILANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-790-0517
Mailing Address - Street 1:4677 TOWNE CENTRE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2846
Mailing Address - Country:US
Mailing Address - Phone:989-790-0517
Mailing Address - Fax:989-790-0261
Practice Address - Street 1:4677 TOWNE CENTRE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2846
Practice Address - Country:US
Practice Address - Phone:989-790-0517
Practice Address - Fax:989-790-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0991195OtherHEALTHPLUS PROVIDER #
MI2507311271OtherBCBS PROVIDER NUMBER
MI2507311271OtherBCBS PROVIDER NUMBER
MI=========OtherTAX ID NUMBER
MI2507311271OtherBCBS PROVIDER NUMBER