Healthcare Provider Details

I. General information

NPI: 1497650469
Provider Name (Legal Business Name): ISMAIL RAHAL DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25734 GRACELAND CIR
DEARBORN HEIGHTS MI
48125-1067
US

IV. Provider business mailing address

25734 GRACELAND CIR
DEARBORN HEIGHTS MI
48125-1067
US

V. Phone/Fax

Practice location:
  • Phone: 313-673-8662
  • Fax:
Mailing address:
  • Phone: 313-673-8662
  • Fax: 313-830-0818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ISMAIL RAHAL
Title or Position: OWNER
Credential: DO
Phone: 313-673-8662