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Organization
PROFESSIONAL REHAB & PAIN MANAGEMENT PC
Active
Organization
PROFESSIONAL REHAB & PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMED YAHYA KHAN RPT (PRESIDENT)
(586) 268-1930
Entity
Organization
Contact information
Practice address
31150 HOOVER RD, STE C, WARREN, MI 48093-7618
(586) 268-1930
(586) 268-1933
Mailing address
31150 HOOVER RD, STE C, WARREN, MI 48093-7618
(586) 268-1930
(586) 268-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650E018130
BCBSM
MI
01
—
P00196720
RAILROAD MEDICARE
MI
Enumeration date
03/05/2009
Last updated
03/05/2009
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