Individual provider · Type 1 NPI

Alaa Eddin Tahboub, PA-C

Physician Assistant · Detroit, MI

NPI number 1689225443 Active

Practice location

4771 Michigan Ave
Detroit, MI 48210-9718

Call (313) 897-2600 Map

Fax (313) 897-2424

Mailing address

17827 Maisons Dr
Clinton Township, MI 48038-3805

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601009631 (MI)
Physician Assistant Primary 363A00000X085007807 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689225443

Alaa Eddin Tahboub, PA-C's National Provider Identifier is 1689225443, issued on Sep 24, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 13, 2024.