Provider Demographics
NPI:1356605158
Name:LTACH SPECIALISTS, P.
Entity type:Organization
Organization Name:LTACH SPECIALISTS, P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-762-0750
Mailing Address - Street 1:2772 TURTLE BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0769
Mailing Address - Country:US
Mailing Address - Phone:586-243-0991
Mailing Address - Fax:586-725-6842
Practice Address - Street 1:2772 TURTLE BLUFF DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0769
Practice Address - Country:US
Practice Address - Phone:586-243-0991
Practice Address - Fax:586-725-6842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital