Individual
DR. TAREK SALIM HADLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29829 TELEGRAPH RD, SOUTHFIELD, MI 48034-1330
(248) 336-4000
(248) 581-8839
Mailing address
18000 W 9 MILE RD, SOUTHFIELD, MI 48075-4009
(248) 336-4000
(248) 336-9137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125052101
IL
207Q00000X
Family Medicine Physician
4301095806
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301095806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15686363329
—
MI
01
—
1568636629
COMMERICIAL
MI
01
—
2509511472
BCN IND
MI
01
—
DP595
RR MEDICARE GROUP #
—
01
—
IL2613
MEDICARE GROUP NUMBER
IL
01
—
P00820812
RR MEDICARE INDIVIDUAL #
—
01
—
P00950697
RAILROAD MEDICARE IND PIN
MI
Enumeration date
04/18/2008
Last updated
12/16/2025
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