Individual
MOUTAZ ELTAHIR ADAM TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-9066
(573) 884-3037
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022025504
MO
208M00000X
Hospitalist Physician
Primary
2022025504
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2019
Last updated
07/22/2022
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