Provider Demographics
NPI:1346251816
Name:TAQI, ALI SYED (DO)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:SYED
Last Name:TAQI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6397 DENTON DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2006
Mailing Address - Country:US
Mailing Address - Phone:248-701-1699
Mailing Address - Fax:
Practice Address - Street 1:6397 DENTON DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2006
Practice Address - Country:US
Practice Address - Phone:248-701-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015399207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OF36228188Medicare ID - Type Unspecified