Individual
DR. MOHAMMED TAHER AL-TAHER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3173 KIRBY WHITTEN RD STE 104, BARTLETT, TN 38134-2881
(901) 380-8040
(901) 309-8784
Mailing address
1176 VICKERY LN STE 100, CORDOVA, TN 38016-0631
(901) 737-1992
(901) 309-8784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41183
TN
2084P0800X
Psychiatry Physician
E3044
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11591588
CAQH
—
05
—
134589726
—
AR
Enumeration date
03/14/2006
Last updated
10/02/2020
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