Healthcare Provider Details

I. General information

NPI: 1861428039
Provider Name (Legal Business Name): TAREF ALABED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 W WARREN AVE
DETROIT MI
48210-1134
US

IV. Provider business mailing address

6550 W WARREN AVE
DETROIT MI
48210-1134
US

V. Phone/Fax

Practice location:
  • Phone: 313-897-7700
  • Fax: 313-897-5991
Mailing address:
  • Phone: 313-897-7700
  • Fax: 313-897-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301080733
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: