Imad Tahbub MD LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

IMAD TAHBUB MD LLC

Doing business as

Imad Tahbub MD LLC

Practice address

1726 Markham Glen Cir
Longwood, FL 32779-2797

Phone

(914) 233-4678

NPI assigned

Aug 24, 2018

Organization subpart

No

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

Authorized official

Name

Faiza Faisal

Title

Office Manager

Phone

(407) 545-6232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IMAD TAHBUB MD LLC Doing business as

Locations

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1679054993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 528",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197962",
            "telephone_number": "914-233-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 MARKHAM GLEN CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792797",
            "telephone_number": "914-233-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAD TAHBUB MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "FAISAL",
        "authorized_official_first_name": "FAIZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-545-6232"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679054993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAD TAHBUB MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.