Individual
DR. MAHMOOD TAHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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