Healthcare Provider Details

I. General information

NPI: 1740372895
Provider Name (Legal Business Name): TALAT DANISH MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46591 ROMEO PLANK SUITE 131
MACOMB MI
48044
US

IV. Provider business mailing address

1324 SOMERSET AVENUE
GROSSE POINTE PARK MI
48230
US

V. Phone/Fax

Practice location:
  • Phone: 586-226-6000
  • Fax: --
Mailing address:
  • Phone: 313-647-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301065325
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number4301065325
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: