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Individual

DR. MAHMOOD TAHIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
451 W CHEW ST, SUITE 310, ALLENTOWN, PA 18102-3472
(610) 821-9356
(610) 821-9352
Mailing address
1605 N CEDAR CREST BLVD, SUITE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD037080L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006471530001
PA
01
0040088000
IBC
01
155687
HIGHMARK BLUE SHIELD
01
164457
UNISON
01
20034807
AMERIHEALTH MERCY
01
50048744
CBC
01
7155687
GATEWAY HEALTH PLAN
01
P00104383
RR MEDICARE
Enumeration date
11/14/2005
Last updated
09/28/2011
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