MEDICARE: RELIABLE PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MI

General Provider Information

NPI Number	:	1144537465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	30835 W 10 MILE RD
Second Line	:	SUITE 5024
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2607
Country	:	US
Telephone Number	:	586-405-9423
Fax Number	:

Provider Business Practice Location Address
First Line	:	30835 W 10 MILE RD
Second Line	:	SUITE 5024
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2607
Country	:	US
Telephone Number	:	586-405-9423
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ATHINA MALIK
Credential	:
Telephone Number	:	586-405-9423

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	09/08/2010

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