Boules, Tamer Nady

Boules, Tamer Nady is an individual health care provider with primary practice located at 22250 Providence Dr Suite 555, Southfield MI 48075-4825. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Boules, Tamer Nady can be contacted via phone (248) 424-5748.

Contact Information

Primary practice address
22250 Providence Dr Suite 555 Southfield MI 48075-4825
Phone: (248) 424-5748
Fax: (248) 443-1706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301072188 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301072188 Michigan

Profile Details

NPI number 1679525539
LBN Legal business name Boules, Tamer Nady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679525539 NPPES
Michigan Other 0P33080 PTAN
Michigan MEDICAID 4870974 PTAN

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