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Inder Kumar Thawani

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

2050 N Haggerty Rd, Suite 280, Canton, MI 48187-3795

PECOS Enrollment

Based on the most recent information from CMS, provider Inder Kumar Thawani does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1558401950
Provider Type
Individual
Full Name
Thawani, Inder Kumar
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
2/7/2007
Last Updated
2/22/2008

Contact Information

Practice Location

2050 N Haggerty Rd, Suite 280, Canton, MI 48187-3795

(734) 844-0800

Unlisted Fax

Mailing Location

8241 Chatham Dr, Canton, MI 48187-4447

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 5501005784 Michigan

Provider Identifiers

ID	Description	Issuer
ID N20230001	Description Other	Issuer MEDICARE INDIVIDUAL NO. Michigan

Inder Kumar Thawani

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Poliner, Shelley Marie

Jalukar, Shashwat

May, Alexandra

Fumakiya, Bharatkumar H

Thomas, Ansu

Sabo, Matthew

Peter, Vinod Surendrakumar

Patel, Hardik

Patel, Niranjan B

Rigor, Rex Bryan