Provider Demographics
NPI:1760640940
Name:RAIS, MUHAMMAD SALMAN
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:SALMAN
Last Name:RAIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MUHAMMAD
Other - Middle Name:SALMAN
Other - Last Name:RAIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13811 MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8509
Mailing Address - Country:US
Mailing Address - Phone:989-400-2889
Mailing Address - Fax:
Practice Address - Street 1:13811 MYRTLE DR
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8509
Practice Address - Country:US
Practice Address - Phone:989-400-2889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-24
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093016207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine