Healthcare Provider Details

I. General information

NPI: 1205001716
Provider Name (Legal Business Name): OAKLAND PHYSICAL MEDICINE AND REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 W UNIVERSITY DR STE 3
ROCHESTER MI
48307-1877
US

IV. Provider business mailing address

1050 W UNIVERSITY DR STE 3
ROCHESTER MI
48307-1877
US

V. Phone/Fax

Practice location:
  • Phone: 248-651-4954
  • Fax: 248-650-1994
Mailing address:
  • Phone: 248-651-4954
  • Fax: 248-650-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. GHADA HANNA
Title or Position: OWNER
Credential: MD
Phone: 248-651-4954