| Ghiath Tayeb Md Pc | |
|
1555 South Blvd E Suite 320 Rochester Hills MI 48307-5663 | |
| (248) 651-0800 | |
| (248) 651-0800 |
| Full Name | Ghiath Tayeb Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1555 South Blvd E, Rochester Hills, Michigan |
| Authorized Official Name and Position | Ghiath Tayeb (PRESIDENT) |
| Authorized Official Contact | 2486510800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghiath Tayeb Md Pc 1555 South Blvd E Suite 320 Rochester Hills MI 48307-5663 Ph: (248) 651-0800 | Ghiath Tayeb Md Pc 1555 South Blvd E Suite 320 Rochester Hills MI 48307-5663 Ph: (248) 651-0800 |
| NPI Number | 1780613919 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 03/23/2015 |
| Medicare PECOS PAC ID | 8224034608 |
|---|---|
| Medicare Enrollment ID | O20061006000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780613919 | NPI | - | NPPES |
| 3290970 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301067088 (Michigan) | Primary |
| Provider Name | Ghiath Tayeb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447236401 PECOS PAC ID: 6507812781 Enrollment ID: I20050330001046 |
| Provider Name | Seina Farshadsefat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194160002 PECOS PAC ID: 6204141765 Enrollment ID: I20150813010242 |
| Provider Name | Reem Jarbou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578825857 PECOS PAC ID: 0648564047 Enrollment ID: I20180727000931 |
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