Adnan H Tahir-Fadlallah, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

35057864-T Issued in OH

Practice address

4758 Ridge Rd
#161
Cleveland, OH 44144-3327

Phone

(440) 236-8484

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316977663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "216-363-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 RIDGE RD",
            "address_2": "#161",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "440-236-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR-FADLALLAH",
        "first_name": "ADNAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35057864-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0884619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mateo Tahan
• Domia Taher
• Fahima Taher
• Pegah Taheri, MD
• Tahgis Imports Incorporated
• Mohammad I Tahir, MD
• Sadia Mansoor Tahir, MD
• Fadi Tawfiq Tahrawi, D.O.
• Khalita Tahzeeb
• Stacey Taiclet

• Endocrinology, Diabetes & Metabolism Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Endocrinology, Diabetes & Metabolism Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.