Individual
LAEEQ AZMAT TAHIRKHELI
Active
Individual
LAEEQ AZMAT TAHIRKHELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004019669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004019669
CERTIFICATE/LICENSE NUMBE
MO
05
—
243332046
—
MO
01
—
785D501
MEDICARE PART B
MO
01
—
P00182717
MEDICARE RAILROAD
MO
Enumeration date
12/06/2005
Last updated
08/10/2013
Update your record
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