Individual
DR. WAHID TAZUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2816 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Mailing address
2816 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01071600A
IN
2084N0400X
Neurology Physician
Primary
036131939
IL
2084N0400X
Neurology Physician
ME150399
FL
390200000X
Student in an Organized Health Care Education/Training Program
57013812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150640003
MEDICARE
IN
05
—
201120900
—
IN
Enumeration date
11/27/2007
Last updated
11/23/2021
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