Organization
MAHMOOD TAHIR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD TAHIR MD (PRESIDENT)
(610) 821-9356
Entity
Organization
Contact information
Practice address
451 W CHEW ST, SUITE 310, ALLENTOWN, PA 18102-3472
(610) 821-9356
(610) 821-9352
Mailing address
451 W CHEW ST, SUITE 310, ALLENTOWN, PA 18102-3472
(610) 821-9356
(610) 821-9352
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD037080L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006471530001
—
PA
01
—
1611199
HIGHMARK BLUE SHIELD
—
01
—
20034805
AMERIHEALTH MERCY
—
01
—
2290077000
IBC
—
01
—
50042307
CBC
—
01
—
7990819
GATEWAY HEALTH PLAN
—
01
—
DB4336
RR MEDICARE
—
Enumeration date
11/14/2005
Last updated
10/19/2007
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