Provider Demographics
NPI:1316949712
Name:TAHIR, ASMA (MD)
Entity type:Individual
Prefix:DR
First Name:ASMA
Middle Name:
Last Name:TAHIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:300 MOUNT AUBURN ST
Mailing Address - Street 2:STE 517
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5600
Mailing Address - Country:US
Mailing Address - Phone:617-868-0847
Mailing Address - Fax:617-491-6048
Practice Address - Street 1:300 MOUNT AUBURN ST
Practice Address - Street 2:STE 517
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5600
Practice Address - Country:US
Practice Address - Phone:617-868-0847
Practice Address - Fax:617-491-6048
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2013-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA158433207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3187462Medicaid
MAG81279Medicare UPIN
MA3187462Medicaid