Individual
DR. TAHIR IDRIS MUFTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E WALNUT ST, EVANSVILLE, IN 47713-2438
(812) 465-5687
Mailing address
500 E WALNUT ST, EVANSVILLE, IN 47713-2438
(812) 465-5687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000236628
ANTHEM/BCBS
KY
01
—
110239485
RAILROAD MEDICARE
KY
05
—
64053721
—
KY
Enumeration date
09/15/2006
Last updated
04/27/2011
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