Individual
TAHIR M QAYYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 DURHAM ST, BASTROP, LA 71220-5013
(318) 283-2200
(318) 283-1200
Mailing address
540 DURHAM ST, BASTROP, LA 71220-5013
(318) 283-2200
(318) 283-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10850R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144244
RAILROAD MEDICARE
LA
05
—
1680061
—
LA
Enumeration date
09/25/2006
Last updated
10/13/2025
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