Individual
EDWARD A TASHJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CROSS CREEK PKWY, SUITE 140, AUBURN HILLS, MI 48326-2774
(248) 332-0296
(248) 332-3466
Mailing address
3100 CROSS CREEK PKWY, SUITE 140, AUBURN HILLS, MI 48326-2774
(248) 332-0296
(248) 332-3466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
046315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347283
—
MI
01
—
2506321551
BCBSM
—
Enumeration date
09/29/2006
Last updated
10/09/2014
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