Provider Demographics
NPI:1801401161
Name:MICHIGAN TOTAL REHAB SERVICES, PLLC
Entity Type:Organization
Organization Name:MICHIGAN TOTAL REHAB SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
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 STE 102
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2847
Mailing Address - Country:US
Mailing Address - Phone:989-790-0517
Mailing Address - Fax:
Practice Address - Street 1:4677 TOWNE CENTRE RD STE 102
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2847
Practice Address - Country:US
Practice Address - Phone:989-790-0517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty