Basic Information
| Provider Information | |||||||||
| NPI: | 1093832750 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BAASHER | ||||||||
| FirstName: | REHAB | ||||||||
| MiddleName: | TAHA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3621 S STATE ST | ||||||||
| Address2: | 700 KMS PLACE | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349362047 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 E. MEDICAL CENTER DR. | ||||||||
| Address2: | 1ST FLOOR TAUBMAN CTR RECP D | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481095318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349364179 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2007 | ||||||||
| LastUpdateDate: | 02/03/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 4301075953 | MI | Y | Allopathic & Osteopathic Physicians | Pediatrics | 2084N0402X | 4301075953 | MI | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology | 2084N0600X | 4301075953 | MI | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Clinical Neurophysiology |
No ID Information.