# TAC MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518695303
- **Authorized official:** DR. TAREK A CHAHINE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 670-3617

## Contact information

- **Practice address:** 1120 E LONG LAKE RD STE 120, TROY, MI 48085-4998
- **Practice address phone:** (248) 946-9400
- **Practice address fax:** (586) 816-1904
- **Mailing address:** 1120 E LONG LAKE RD STE 120, TROY, MI 48085-4998
- **Mailing address phone:** (248) 946-9400
- **Mailing address fax:** (586) 816-1904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 09/12/2022