Ayesha M Taj, DO | |
1600 S Canton Center Rd, Suite 200, Canton, MI 48188-1992 | |
(734) 398-8675 | |
(734) 398-8670 |
Full Name | Ayesha M Taj |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1600 S Canton Center Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801858733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080A0000X | Pediatrics - Adolescent Medicine | 5101013698 (Michigan) | Primary |
Entity Name | Detroit Wayne County Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962733089 PECOS PAC ID: 4385982271 Enrollment ID: O20190219003271 |
Mailing Address | Practice Location Address |
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Ayesha M Taj, DO 1749 Iman Rd, Canton, MI 48188-2229 Ph: (734) 255-7021 | Ayesha M Taj, DO 1600 S Canton Center Rd, Suite 200, Canton, MI 48188-1992 Ph: (734) 398-8675 |
Christine Gay Brenner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 S Canton Center Rd, Ste 200, Canton, MI 48188 Phone: 734-713-4000 Fax: 734-713-4001 | |
Dr. Lisa Sprague, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Judy Tosto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Ste 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Crystal G Barrow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Hira Amarasinghe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49650 Cherry Hill Rd Ste 210, Canton, MI 48187 Phone: 734-620-9993 | |
Dr. Bader Fatima Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8528 N Canton Center Rd, Canton, MI 48187 Phone: 734-414-9944 | |
Dr. Megan Ann Olson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1051 North Canton Rd, Canton, MI 48187 Phone: 734-844-5400 Fax: 734-764-2599 |