Individual
DR. MOHAMMAD TARIQ YASIN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH, 4201 ST ANTOINE STE 5B, DETROIT, MI 48201-2153
(313) 745-1741
(313) 745-8165
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083859
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301083859
MI
Other
Enumeration date
02/12/2009
Last updated
09/09/2025
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