Taha, Wael

Taha, Wael is an individual health care provider with primary practice located at 4201 St Antoine Suite 5A, Detroit MI 48201-2153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Taha, Wael can be contacted via phone (313) 745-4525.

Contact Information

Primary practice address
4201 St Antoine Suite 5A Detroit MI 48201-2153
Phone: (313) 745-4525
Fax: (313) 993-0085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301091739 Michigan
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301091739 Michigan

Profile Details

NPI number 1578501748
LBN Legal business name Taha, Wael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578501748 NPPES
Kentucky Other 39094 MEDICAL LICENSE
Kentucky MEDICAID 64090418 MEDICAL LICENSE
Kentucky Other 000000354853 MEDICAL LICENSE

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