Organization
MICHIGAN NEURODIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEEM A. TAHIR M.D. (PRESIDENT)
(734) 779-2147
Entity
Organization
Contact information
Practice address
15142 LEVAN RD, LIVONIA, MI 48154-5027
(734) 779-2147
(734) 779-2160
Mailing address
15142 LEVAN RD, LIVONIA, MI 48154-5027
(734) 779-2147
(734) 779-2160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ST039317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4161242 TYPE 10
—
MI
Enumeration date
04/06/2007
Last updated
06/21/2018
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