Individual
DR. HASSAN I. TAHSILDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 COMMANCHE AVE, GREEN BAY, WI 54313-5751
(920) 435-8326
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
54846-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144620
AMERICAN BOARD OF INTERNAL MEDIDICE/MEDICAL ONCOLOGY
—
Enumeration date
10/17/2005
Last updated
01/14/2021
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