Organization
AMBULATORY ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAUFIEK ALHADI DO (OWNER)
(313) 580-9501
Entity
Organization
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
PO BOX 1904, SUITE 100, MONROE, MI 48161-6904
(313) 580-9501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050H226700
BCBS ANESTHESIOLOGISTS
MI
01
—
430H227430
BCBS CRNAS
MI
01
—
AN820030
MCARE
MI
Enumeration date
05/09/2006
Last updated
08/15/2024
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