Individual
ALAA OTHMAN TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.151730
OH
207R00000X
Internal Medicine Physician
4301511218
MI
Other
Enumeration date
04/11/2021
Last updated
05/29/2026
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