Organization
STAR REHAB. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHFAQ AHMED B.SC. RPT (PRESIDENT)
(248) 443-7202
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR., SUITE 205 E., SOUTHFIELD, MI 48075
(248) 443-7202
(248) 443-7232
Mailing address
15565 NORTHLAND DR., SUITE. 205 E., SOUTHFIELD, MI 48075
(248) 443-7202
(248) 443-7232
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
225100000X
MI
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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