Healthcare Provider Details

I. General information

NPI: 1801401161
Provider Name (Legal Business Name): MICHIGAN TOTAL REHAB SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4677 TOWNE CENTRE RD STE 102
SAGINAW MI
48604-2847
US

IV. Provider business mailing address

4677 TOWNE CENTRE RD STE 102
SAGINAW MI
48604-2847
US

V. Phone/Fax

Practice location:
  • Phone: 989-790-0517
  • Fax:
Mailing address:
  • Phone: 989-790-0517
  • Fax:

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: MUHAMMAD S JILANI
Title or Position: PHYSICIAN
Credential: MD
Phone: 989-790-0517