Provider Demographics
NPI:1205489010
Name:HARI HAR REHAB PC
Entity type:Organization
Organization Name:HARI HAR REHAB PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BHARATKUMAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:FUMAKIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-620-1267
Mailing Address - Street 1:1095 CANTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3807
Mailing Address - Country:US
Mailing Address - Phone:214-620-1267
Mailing Address - Fax:
Practice Address - Street 1:1095 CANTERBURY CIR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3807
Practice Address - Country:US
Practice Address - Phone:214-620-1267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-20
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty