Provider Demographics
NPI:1790393569
Name:WORLD'S FINEST PHYSICAL MEDICINE & REHABILITATION, LLC
Entity Type:Organization
Organization Name:WORLD'S FINEST PHYSICAL MEDICINE & REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUTAHAMMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KAREEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-643-0207
Mailing Address - Street 1:136 LINDEN DR STE 104
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6900
Mailing Address - Country:US
Mailing Address - Phone:540-678-3588
Mailing Address - Fax:540-678-9025
Practice Address - Street 1:20 PINNACLE PKWY
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8389
Practice Address - Country:US
Practice Address - Phone:340-643-0207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty