EMAD RAGHEB KORTAM (NPI# 1861962177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861962177 |
| Entity Type | Individual |
| Full Name | EMAD RAGHEB KORTAM |
| Practice Address |
7025 N Lilley Rd Canton MI 48187-3533 |
| Practice Telephone | 7343943100 |
| Mailing Telephone | 7343943100 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5501008376 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7025 N LILLEY RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356380323 | Heartland of Canton Mi LLC | Skilled Nursing Facility | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2006-06-05 |
| 1881151058 | Lisa Hayes | Speech-Language Pathologist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2019-02-25 |
| 1629548771 | Ranjith Rajaram | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-12-03 |
| 1790255271 | Kayla Anne Ruark | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-28 |
| 1164992657 | Jennifer Lynne Stone | Occupational Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-28 |
| 1760952311 | Charlyne Dulla Delito-monton | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187 | 2018-11-27 |
| 1386113082 | Liyana A Chandrapala | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-26 |
| 1447729371 | Fernanda Facchinetti | Occupational Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-20 |
| 1780153890 | Mamta V Peter | Occupational Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-19 |
| 1497224505 | Love Jade Oraa | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652763 | Better Care Therapy Services LLC | Physical Therapist | 49872 Alden, Canton, MI 48188-2869 | 2020-02-22 |
| 1184744153 | John Casil II | Physical Therapist | 839 34th St Nw, Suite 8, Canton, OH 44709-2960 | 2007-03-31 |
| 1629548771 | Ranjith Rajaram | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-12-03 |
| 1790255271 | Kayla Anne Ruark | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-28 |
| 1760952311 | Charlyne Dulla Delito-monton | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187 | 2018-11-27 |
| 1386113082 | Liyana A Chandrapala | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-26 |
| 1497224505 | Love Jade Oraa | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-19 |
| 1770052938 | Catherine Siegler | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-17 |
| 1942779236 | Chandratilaka Liyanage | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-16 |
| 1629547823 | Eldie Mangubat Ilano | Physical Therapist | 7025 N Lilley Rd, Canton, MI 48187-3533 | 2018-11-16 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.