Provider Demographics
NPI:1932080546
Name:AHMAD ABDSELIM TAHA MD
Entity type:Organization
Organization Name:AHMAD ABDSELIM TAHA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-559-5066
Mailing Address - Street 1:8410 W FLAGLER ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2000
Mailing Address - Country:US
Mailing Address - Phone:305-559-5066
Mailing Address - Fax:305-559-5502
Practice Address - Street 1:8410 W FLAGLER ST STE 203B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2000
Practice Address - Country:US
Practice Address - Phone:305-559-5066
Practice Address - Fax:305-559-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty