Provider Demographics
NPI:1134582737
Name:RAUF, MOHAMMAD TALHA (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:TALHA
Last Name:RAUF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MOHAMMAD
Other - Middle Name:TALHA
Other - Last Name:RAUF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MB,BS
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:4990 W CLARK RD, STE 300
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-884-5196
Practice Address - Fax:734-743-4499
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301502935207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism