Medical Consultant PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MEDICAL CONSULTANT PLLC

Doing business as

Endocrinology, Diabetes and Bone Center

Practice address

4507 Rolling Ridge Rd
W Bloomfield, MI 48323-3339

Phone

(248) 952-7445

NPI assigned

Mar 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wael Taha, MDNPI 1578501748

Title

Medical Doctor

Phone

(248) 952-7445

Specialties & licenses 1

Addresses

Other names 1

• Endocrinology, Diabetes and Bone Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wael Taha, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Detroit, MI
  • NPI 1578501748
  Medicare reassignment NPD Authorized official
• Zaher Msallaty, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Southfield, MI
  • NPI 1124012752
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1417532847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 ROLLING RIDGE RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233339",
            "telephone_number": "248-952-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 ROLLING RIDGE RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233339",
            "telephone_number": "248-952-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "248-952-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology, Diabetes and Bone Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Mahan, PTA
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• Christy Miller, MSW

• Endocrinology, Diabetes & Metabolism Physician in W Bloomfield, MI
• Providers in W Bloomfield, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.