Organization Active NPI

Mahmood Tahir MD

  • Vascular Surgery Physician
  • Allentown, PA
National Provider Identifier
1033190335
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD037080L Issued in PA
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

Updated by the provider on Oct 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mahmood Tahir, MDNPI 1730160029
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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0006471530001MedicaidPA
1611199OtherHIGHMARK BLUE SHIELD
DB4336OtherRR MEDICARE
20034805OtherAMERIHEALTH MERCY
2290077000OtherIBC
7990819OtherGATEWAY HEALTH PLAN
50042307OtherCBC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.