Basic Information
| Provider Information | |||||||||
| NPI: | 1518999119 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | M SOHAIL JILANI MD PLLC | ||||||||
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| OtherOrganizationName: | PHYSICAL MEDICINE & REHABILITATION OF MICHIGAN | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4677 TOWNE CENTRE RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486042846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897900517 | ||||||||
| FaxNumber: | 9897900261 | ||||||||
| Practice Location | |||||||||
| Address1: | 4677 TOWNE CENTRE RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486042846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897900517 | ||||||||
| FaxNumber: | 9897900261 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 10/01/2021 | ||||||||
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| AuthorizedOfficialLastName: | JILANI | ||||||||
| AuthorizedOfficialFirstName: | MUHAMMAD | ||||||||
| AuthorizedOfficialMiddleName: | SOHAIL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9897900517 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 10/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | N | Suppliers | Durable Medical Equipment & Medical Supplies | 174400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.