Individual
BOBAK TAHER RABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD # K14, DETROIT, MI 48202-2608
(313) 916-3887
(313) 916-8901
Mailing address
2799 W GRAND BLVD # K-14, DETROIT, MI 48202-2608
(313) 916-3887
(313) 916-8901
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301085738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01050
BCBS
MI
Enumeration date
05/23/2007
Last updated
08/15/2024
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