Provider Demographics
NPI:1235251042
Name:TAHA, ROBBIE H (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBBIE
Middle Name:H
Last Name:TAHA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:RABIH
Other - Middle Name:H
Other - Last Name:TAHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1861
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:25631 LITTLE MACK AVE STE 205
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2108
Practice Address - Country:US
Practice Address - Phone:586-443-2380
Practice Address - Fax:586-443-2935
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53550-021207RG0100X
SCTL1520207RG0100X
MI5101015927207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine