Healthcare Provider Details

I. General information

NPI: 1427084805
Provider Name (Legal Business Name): GEORGE TOUFIC NAHHAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 03/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2881 MONROE ST SUITE 100
DEARBORN MI
48124-2847
US

IV. Provider business mailing address

2881 MONROE ST SUITE 100
DEARBORN MI
48124-3475
US

V. Phone/Fax

Practice location:
  • Phone: 313-562-3232
  • Fax: 313-563-3330
Mailing address:
  • Phone: 313-562-3232
  • Fax: 313-563-3330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301058668
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number4301058668
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number4301058668
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: