MEDICARE: MR. SANJAY THAKRAL RPT

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	225100000X	Physical Therapist	5501006790	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DN5971	OTHER	MI	RAILROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	650H230480	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1811055502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SANJAY THAKRAL RPT

Provider Business Mailing Address
First Line	:	PO BOX 703207
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-0994
Country	:	US
Telephone Number	:	313-359-9595
Fax Number	:	313-359-9585

Provider Business Practice Location Address
First Line	:	8565 N SILVERY LN
Second Line	:	SUITE 401
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-4517
Country	:	US
Telephone Number	:	313-359-9595
Fax Number	:	313-359-9585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	06/20/2023

Similar Medicare Providers

1801954508 — PERFORMANCE REHAB INC
Practice Location Address:

8565 N SILVERY LN , SUITE 401
DEARBORN HEIGHTS, MI
48127-4517

Practice Phone: 313-359-9595
Practice Fax: 313-359-9585

1114479300 — AAROHI SHAH
Practice Location Address:

8565 N SILVERY LN , SUITE 401
DEARBORN HEIGHTS, MI
48127-4517

Practice Phone: 313-359-9595
Practice Fax: 313-359-9585

1548925993 — STT MEDICAL PLLC
Practice Location Address:

8565 N SILVERY LN STE 100
DEARBORN HEIGHTS, MI
48127-4517

Practice Phone: 313-258-7335
Practice Fax:

1912912049 — WALGREEN CO
Practice Location Address:

4019 METROPOLITAN PKWY
STERLING HEIGHTS, MI
48310-4517

Practice Phone: 586-446-8104
Practice Fax:

1700919156 — MS. YOLANDA JOCELYN HARRIS LPC
Practice Location Address:

4517 RENAISSANCE PKWY
WARRENSVILLE HEIGHTS, OH
44128-5701

Practice Phone: 216-360-9343
Practice Fax:

1104947134 — SYBIL MATHAI ALEX CCC-SLP
Practice Location Address:

460 COVENTRY CIR
GLENDALE HEIGHTS, IL
60139-4517

Practice Phone: 630-408-0603
Practice Fax: 630-547-8510

Directions to “ MR. SANJAY THAKRAL RPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.