Dima Al Ta'any MD

NPI 1629258272 - Pediatrics - 208000000X

NPI Details
NPI 1629258272
Gender Female
Enumeration Date 11/13/2007
Last Updated 08/19/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
18181 OAKWOOD BLVD STE 124
DEPARTMENT OF PEDIATRICS/NEONATAL
DEARBORN MI, 48124-5032, US
Phone (313) 593-7490
Fax (313) 736-2082
Business Location
15500 LUNDY PKWY
DEARBORN MI, 48126-2778, US
Phone (313) 586-5011
Fax (313) 966-0665
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301090351
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According to our database, Dima Al Ta'any MD NPI is 1629258272, taxonomy code is 208000000X and license number is 4301090351, license state is located at Michigan. Dima Al Ta'any MD physically located at 18181 Oakwood Blvd Ste 124, Dearborn MI, 48124-5032. NPI Number Dima Al Ta'any MD has the Individual type.

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1629258272 NPI number is provided on an as is basis without warranty of any kind. 1629258272 is maintained by the National Plan & Provider Enumeration System. The contents of Dima Al Ta'any MD are for informational purposes only.