Individual provider · NPI-1

Dr. Rehab Taha Baasher, M.D.

Pediatrics · Ann Arbor, MI

NPI number1093832750
StatusActive
Last updated in NPPESFeb 3, 2009

Details

NPI
1093832750
Entity type
Individual (NPI-1)
Name
Dr. Rehab Taha Baasher
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2007
Last updated
Feb 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics4301075953MIYes
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology4301075953MI
2084N0600X 4301075953MI

Practice location

1500 E. Medical Center Dr.
1st Floor Taubman Ctr Recp D
Ann Arbor, MI 48109-5318

Phone 734-936-4179

Mailing address

3621 S State St
700 Kms Place
Ann Arbor, MI 48108

Phone 734-936-2047

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