Abdalla a. Tahiri, M.D.,P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C-7393 Issued in AR

Legal business name

ABDALLA A. TAHIRI, M.D.,P.A.

Doing business as

Little Rock Gastroenterology Clinic

Practice address

9601 Lile Dr
Ste 1070
Little Rock, AR 72205-6321

Phone

(501) 217-8500

NPI assigned

Jan 19, 2007

Last updated

Jun 24, 2008By 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

Dr. Abdalla A Tahiri, M.D.NPI 1558330431

Title

Owner

Phone

(501) 217-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Little Rock Gastroenterology Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdalla A Tahiri, MD

  • Gastroenterology Physician
  • Little Rock, AR
  • NPI 1558330431
  Authorized official Same address or phone

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1083767560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "STE 1070",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-217-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "STE 1070",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-217-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDALLA A. TAHIRI, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "TAHIRI",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-217-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C-7393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115826001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Rock Gastroenterology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.