Provider Demographics
NPI:1689227191
Name:ABM REHAB LLC
Entity Type:Organization
Organization Name:ABM REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:VANDANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALADKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-337-9892
Mailing Address - Street 1:1503 BIG COVE RD SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1104 GLENEAGLES DR SW STE B
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6511
Practice Address - Country:US
Practice Address - Phone:256-337-9892
Practice Address - Fax:256-242-6040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty