Provider Demographics
NPI:1194281519
Name:ASIF NADEEM TAHIR MD
Entity type:Organization
Organization Name:ASIF NADEEM TAHIR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASIF
Authorized Official - Middle Name:NADEEM
Authorized Official - Last Name:TAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-536-5676
Mailing Address - Street 1:313 WHITE SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-6509
Mailing Address - Country:US
Mailing Address - Phone:914-536-5676
Mailing Address - Fax:
Practice Address - Street 1:313 WHITE SPRINGS LN
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6509
Practice Address - Country:US
Practice Address - Phone:914-536-5676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center