Mohamed Taki, MD | |
3901 Beaubien St, Detroit, MI 48201-2119 | |
(313) 745-1892 | |
Not Available |
Full Name | Mohamed Taki |
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Gender | Male |
Speciality | Allergy & Immunology |
Location | 3901 Beaubien St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447604368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 71135-20 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Fort Wayne Medical Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659549475 PECOS PAC ID: 7214992114 Enrollment ID: O20120307000493 |
Mailing Address | Practice Location Address |
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Mohamed Taki, MD 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-8175 | Mohamed Taki, MD 3901 Beaubien St, Detroit, MI 48201-2119 Ph: (313) 745-1892 |
Dr. James Austin Womack, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2310 W Mcnichols Rd, Detroit, MI 48221 Phone: 313-909-9051 | |
Dr. Kalyani S Yellayi, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 Fax: 313-576-1123 | |
Dr. Farah I Khan, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, 5th Floor Carl's Building, Allergy/immunology, Detroit, MI 48201 Phone: 313-745-4450 Fax: 313-993-8699 | |
Dr. Rana Tawil Misiak, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-876-2662 | |
David Thomas Coleman, Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd Ste 800, Detroit, MI 48202 Phone: 800-653-6568 | |
Cristina Cotronei-cascardo, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3950 Beaubien - 3rd Fl, Childrens Hospital Of Mi, Detroit, MI 48201 Phone: 313-832-8550 Fax: 313-993-8685 |