Individual
DR. TAREK TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01066701A
IN
207X00000X
Orthopaedic Surgery Physician
11013957A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
4301102463
MI
207X00000X
Orthopaedic Surgery Physician
45863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066701A
MEDICAL LICENSE NUMBER
IN
05
—
1245490739
—
MI
01
—
4301102463
MEDICAL LICENSE NUMBER
MI
01
—
45863
MEDICAL LICENSE NUMBER
AZ
05
—
699769
—
AZ
Enumeration date
06/10/2008
Last updated
04/06/2021
Update your record
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