| Ayesha M. Taj DO PC | |
|
25412 Goddard Rd Taylor MI 48180-6200 | |
| (313) 292-4110 | |
| Not Available |
| Full Name | Ayesha M. Taj DO PC |
|---|---|
| Speciality | Clinic/center |
| Location | 25412 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Ayesha M Taj (OWNER) |
| Authorized Official Contact | 7342557021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayesha M. Taj DO PC 1749 Iman Rd Canton MI 48188-2229 | Ayesha M. Taj DO PC 25412 Goddard Rd Taylor MI 48180-6200 Ph: (313) 292-4110 |
| NPI Number | 1376108548 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376108548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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