Individual
KHOLA SAMREEN TAHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, YALE NEW HAVEN HOSPITAL, DEPT. OF INTERNAL MEDICINE, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-00474
NC
207RC0000X
Cardiovascular Disease Physician
2016-00474
NC
207RI0011X
Interventional Cardiology Physician
Primary
29889
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
04/07/2022
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