Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4301075953 | MI |
N | 2084N0402X | Child Neurologist | 4301075953 | MI |
N | 2084N0600X | Clinical Neurophysiologist | 4301075953 | MI |
NPI | 1093832750 |
---|---|
Provider Name | Dr. Rehab Taha Baasher |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 03/02/2009 |