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Organization
IMAD TAHBUB MD LLC
Active
Organization
IMAD TAHBUB MD LLC
Active
Other names
IMAD TAHBUB MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZA FAISAL (OFFICE MANAGER)
(407) 545-6232
Entity
Organization
Contact information
Practice address
1726 MARKHAM GLEN CIR, LONGWOOD, FL 32779-2797
(914) 233-4678
Mailing address
5728 MAJOR BLVD STE 528, ORLANDO, FL 32819-7962
(914) 233-4678
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679054993
—
FL
Enumeration date
08/24/2018
Last updated
07/07/2021
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