Individual
DR. HISHAM Z TAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD, STE 270, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003414
GA
207R00000X
Internal Medicine Physician
40876
IA
207RP1001X
Pulmonary Disease Physician
Primary
2016010309
MO
207RP1001X
Pulmonary Disease Physician
40876
IA
Other
Enumeration date
09/29/2008
Last updated
03/14/2017
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