Individual
DR. TAWFIQ E NAKHLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
43171 DALCOMA DR, SUITE 3, CLINTON TWP, MI 48038-6307
(586) 286-0639
(586) 286-0657
Mailing address
24327 FORD RD, SUITE 3, DEARBORN, MI 48128-1129
(586) 286-0639
(586) 286-0657
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101009511
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
5101009511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E03586
BCBSM
MI
05
—
114075387
—
MI
01
—
P00992689
MEDICARE-RAILROAD
—
Enumeration date
05/03/2006
Last updated
02/09/2017
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