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NPI Code Detail

MEDICARE: HEND M TALIA M.D.

MEDICARE: HEND M TALIA M.D.
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
12084P0800XPsychiatry PhysicianTEP6862NE
22084P0800XPsychiatry Physician4301109154MI

General Provider Information

NPI Number : 1720333701
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEND M TALIA M.D.
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-898-7131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 04/14/2026

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