Ghalib Y Talia, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

044127 Issued in MI

Practice address

44555 Woodward Ave
Suite 301
Pontiac, MI 48341-5031

Phone

(246) 338-4040

Fax

(248) 858-3871

NPI assigned

Oct 31, 2005

Last updated

Aug 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1417948357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 301",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "246-338-4040",
            "fax_number": "248-858-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 301",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "246-338-4040",
            "fax_number": "248-858-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIA",
        "first_name": "GHALIB",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "044127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552573",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2806367791",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Justin Sykes, LCSW
• Lisa Tabisz, DPM
• Natalie Tabor
• Ashvin Karthik Tadakamalla, M.D.
• Mones Takriti, M.D.
• Prasanth Talluri
• Vevake Tandon, DDS
• Alexander David Tapper, M.D.
• Frank Tarn
• Syed Haris Tasleem, M.D.

• Surgery Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.