Provider Demographics
NPI:1538191127
Name:JILANI, MUHAMMAD S (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:S
Last Name:JILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4677 TOWNE CENTRE RD
Mailing Address - Street 2:STE 102
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2846
Mailing Address - Country:US
Mailing Address - Phone:989-790-0517
Mailing Address - Fax:989-790-0261
Practice Address - Street 1:4677 TOWNE CENTRE RD
Practice Address - Street 2:STE 102
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2846
Practice Address - Country:US
Practice Address - Phone:989-790-0517
Practice Address - Fax:989-790-0261
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301069297208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2507311271OtherBLUE CROSS PROVIDER #
MI0991195OtherHP PROVIDER NUMBER
MI104469793Medicaid
MI104819882Medicaid
MI104600549Medicaid
MI104469819Medicaid
MI104600558Medicaid
MI2507311271OtherBLUE CROSS PROVIDER #
MI104469775Medicare ID - Type Unspecified
MI0N91660001Medicare ID - Type Unspecified
MI104600558Medicaid