Mohanad a Eltahir DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MOHANAD A ELTAHIR DPM PA

Practice address

3800 W 12TH Ave
Hialeah, FL 33012-7793

Phone

(305) 681-2600

Fax

(305) 685-0906

NPI assigned

Jun 17, 2008

Last updated

Dec 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohanad A Eltahir, DPM

Title

Owner

Phone

(305) 682-2600

Specialties & licenses 1

Addresses

Other names 1

• Alan F Shader DPM PA Former legal business name

Locations

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1073774634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127793",
            "telephone_number": "305-681-2600",
            "fax_number": "305-685-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127793",
            "telephone_number": "305-681-2600",
            "fax_number": "305-685-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHANAD A ELTAHIR DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "ELTAHIR",
        "authorized_official_first_name": "MOHANAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-682-2600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan F Shader DPM PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amina Abdirahman Mohamed, MD
• Yahia Mohamed, MD
• Hajir Kadhim Mohammed
• Karthik Mohan, D.O.
• Monte Mohana, MD
• Javier Mojena Serrano
• Giovanna Isabel Mojica
• Mohammad M Mokhtary, PHARMACIST
• Nelly Mola
• Andres F Molano Canal, M.D

• Podiatrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.