Individual
DR. MOHAMMED FAZLUR REHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-7205
Mailing address
2214 ROLLING STONE DR, STERLING HEIGHTS, MI 48314-3774
(586) 739-1261
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
5101015992
MI
2084N0400X
Neurology Physician
Primary
5101015992
MI
Other
Enumeration date
05/23/2007
Last updated
04/20/2021
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