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Individual
DR. ELMUTAZ M ELTAHIR
Active
Individual
DR. ELMUTAZ M ELTAHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101263961
VA
207R00000X
Internal Medicine Physician
48498
CO
207R00000X
Internal Medicine Physician
48616-020
WI
208M00000X
Hospitalist Physician
0101263961
VA
208M00000X
Hospitalist Physician
DR.0048498
CO
208M00000X
Hospitalist Physician
Primary
ME167080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020625
KAISER COMMERCIAL NUMBER
CO
05
—
122019900
—
FL
05
—
1982723821
—
VA
01
—
48616-020
WI LICENSE NUMBER
WI
05
—
62380851
—
CO
Enumeration date
03/29/2007
Last updated
08/09/2024
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