Individual
DR. TAHER ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301057026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102505841
BCBSM
MI
Enumeration date
07/30/2006
Last updated
04/14/2017
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