Individual
NADER HASAN TASHTOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3990 JOHN R ST, 5 HUDSON, ROOM 5910, DETROIT, MI 48201-2018
(313) 745-9649
(313) 993-0302
Mailing address
1560 E MAPLE RD, TROY, MI 48083-1135
(248) 581-5729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301103048
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2013
Last updated
04/20/2018
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