Individual
MOHAMMAD I TAHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1636
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-073573
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221368
UNISON
OH
01
—
000000503547
ANTHEM
OH
05
—
2151586
—
OH
01
—
364069
WELLCARE MEDICAID
OH
01
—
7108181
AETNA
OH
01
—
747147
BUCKEYE MEDICAID
OH
01
—
P00275200
RAILROAD MEDICARE
OH
01
—
P00366732
MEDICARE RAILROAD
OH
Enumeration date
07/19/2006
Last updated
07/22/2011
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