Healthcare Provider Details

I. General information

NPI: 1437105988
Provider Name (Legal Business Name): COMPREHENSIVE ELDERCARE & REHAB PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27620 FARMINGTON RD
FARMINGTON HILLS MI
48334-3349
US

IV. Provider business mailing address

27620 FARMINGTON RD
FARMINGTON HILLS MI
48334-3366
US

V. Phone/Fax

Practice location:
  • Phone: 313-271-1490
  • Fax:
Mailing address:
  • Phone: 313-271-1490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MUTAHHAR AHMAD
Title or Position: PRESIDENT
Credential: M.D
Phone: 313-271-1490