Individual provider · Type 1 NPI

Tamara K. Al-Maktar, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1720653785 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Other practice locations

  • 750 E Adams St, Syracuse, NY 13210-2306 · (315) 464-5540
  • Msc 10-5550, 1 University Of New Mexico, Albuquerque, NM 87131-0001 · (505) 272-0390

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720653785

Tamara K. Al-Maktar, MD's National Provider Identifier is 1720653785, issued on May 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Aug 12, 2026.