Individual
ASIF N TAHIR
Active
Individual
ASIF N TAHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.115720
IL
207R00000X
Internal Medicine Physician
079478
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
79478
GA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
079478
GA
208M00000X
Hospitalist Physician
079478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-628-692-6
ECFMG
—
01
—
036115720
ILLINOIS MEDICAL LICENSE
IL
05
—
1750329728
—
MO
01
—
2008023315
MO MEDICAL LICENSE
MO
Enumeration date
06/03/2006
Last updated
06/25/2024
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