Tiger Telemedicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TIGER TELEMEDICINE, LLC

Practice address

1107 S Walter Reed Dr Apt 204
Arlington, VA 22204-4371

Phone

(817) 821-3436

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Yasmin Khan, MD

Title

Owner

Phone

(817) 821-3436

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1073113783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S WALTER REED DR APT 204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044371",
            "telephone_number": "817-821-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S WALTER REED DR APT 204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044371",
            "telephone_number": "817-821-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER TELEMEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-821-3436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Arlington, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.