# ELITE MEDICAL REHABILITATION GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538176110
- **Authorized official:** BORIS BERKOVICH (OWNER)
- **Authorized official phone:** (248) 539-8781

## Contact information

- **Practice address:** 30500 NORTHWESTERN HWY., SUITE 316C, FARMINGTON HILLS, MI 48334
- **Practice address phone:** (248) 539-8781
- **Mailing address:** 30500 NORTHWESTERN HWY., SUITE 316C, FARMINGTON HILLS, MI 48334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | — |
| 207L00000X | Anesthesiology Physician | 4301043383 | MI | — |
| 207R00000X | Internal Medicine Physician | RS021858 | MI | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 06/05/2019