Active NPI
Mahmood Tahir MD
- Vascular Surgery Physician
- Allentown, PA
National Provider Identifier
1033190335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD037080L
- Legal business name
- MAHMOOD TAHIR MD
- Practice address
- 451 W Chew St
Suite 310
Allentown, PA 18102-3472 - Phone
- (610) 821-9356
- Fax
- (610) 821-9352
- NPI assigned
- Nov 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahmood Tahir, MD
- Title
- President
- Phone
- (610) 821-9356
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD037080L | PA | Primary |
Addresses
Primary practice location
451 W Chew St
Suite 310
Allentown, PA 18102-3472
Mailing address
451 W Chew St
Suite 310
Allentown, PA 18102-3472
Phone (610) 821-9356
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006471530001 | Medicaid | PA | |
| 1611199 | Other | HIGHMARK BLUE SHIELD | |
| DB4336 | Other | RR MEDICARE | |
| 20034805 | Other | AMERIHEALTH MERCY | |
| 2290077000 | Other | IBC | |
| 7990819 | Other | GATEWAY HEALTH PLAN | |
| 50042307 | Other | CBC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Allentown, PA
- NPI 1730160029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1033190335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 W CHEW ST",
"address_2": "SUITE 310",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023472",
"telephone_number": "610-821-9356",
"fax_number": "610-821-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 W CHEW ST",
"address_2": "SUITE 310",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023472",
"telephone_number": "610-821-9356",
"fax_number": "610-821-9352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHMOOD TAHIR MD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "TAHIR",
"authorized_official_first_name": "MAHMOOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-821-9356",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD037080L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006471530001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1611199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DB4336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "20034805",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2290077000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "7990819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBC",
"identifier": "50042307",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.