Individual
MAMON TAHHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
16185 CARRIAGE LAMP DR, APT 632, SOUTHFIELD, MI 48075
(248) 778-8419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301084457
MI
Other
Enumeration date
04/18/2007
Last updated
07/21/2022
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