Individual
DR. ROBBIE H TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25631 LITTLE MACK AVE STE 205, SAINT CLAIR SHORES, MI 48081-2108
(586) 443-2380
(586) 443-2935
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1861
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101015927
MI
207RG0100X
Gastroenterology Physician
53550-021
WI
207RG0100X
Gastroenterology Physician
Primary
TL1520
SC
Other
Enumeration date
04/04/2007
Last updated
10/23/2020
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