Dr Tahani Mohamed Ahmed Ali Abugoukh, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Warren, Michigan. Her current practice location is
11885 E 12 Mile Rd Ste 300a, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 582-6630.
Dr Tahani Mohamed Ahmed Ali Abugoukh is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427743590.
Physician's Profile
| Full Name | Dr Tahani Mohamed Ahmed Ali Abugoukh |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11885 E 12 Mile Rd Ste 300a, Warren, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427743590
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 06/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 8921465543
- Enrollment ID: I20230613000745
Medical Identifiers
Medical identifiers for Dr Tahani Mohamed Ahmed Ali Abugoukh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427743590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 4301518017 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tahani Mohamed Ahmed Ali Abugoukh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Tahani Mohamed Ahmed Ali Abugoukh, MD 12000 E 12 Mile Rd, Warren, MI 48093-3570 Ph: () - | Dr Tahani Mohamed Ahmed Ali Abugoukh, MD 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 Ph: (586) 582-6630 |
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