MEDICARE: DR. GHIATH TAYEB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	4301067088	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447236401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GHIATH TAYEB MD

Provider Business Mailing Address
First Line	:	811 SOUTH BLVD E STE 200
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5359
Country	:	US
Telephone Number	:	248-651-0800
Fax Number	:	248-651-7341

Provider Business Practice Location Address
First Line	:	811 SOUTH BLVD E STE 200
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5359
Country	:	US
Telephone Number	:	248-651-0800
Fax Number	:	248-651-7341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/25/2025

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