# DR. HAMED TAHERI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679766745
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 274616 | NY | — |
| 208600000X | Surgery Physician | MD446301 | PA | — |
| 2086S0129X | Vascular Surgery Physician | MD446301 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | VA | — |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 12/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103082942 | — | PA |
| 05 | — | 112351300 | — | MD |
| 01 | — | A138318 | LICENSE | CA |