Tahamtan Ahmadi, MD
Individual provider Active NPI Hematology & Oncology Physician · Philadelphia, PA
NPI 1902090475 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1902090475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- MT191760 (PA)
- Practice address
- 3400 Spruce St
1 Maloney
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3681
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT191760 | PA | MD | Hematology & Oncology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MT191760 | PA | Yes |
Addresses
Primary practice location
3400 Spruce St
1 Maloney
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce St
1 Maloney
Philadelphia, PA 19104-4206
Phone (215) 662-3681
Other providers in Philadelphia, PA
- Sufyan Ahmad
- Syed Suhaib Ahmad
- Syed Waqas Ahmad
- Yusuf Ahmad
- Farwa Ahmadi
- Tina Ahmadinejad
- Shakelah Ahmady
- Aida Ahmed
- Aiesha Ahmed
- Ainee Fatima Ahmed
All providers in Philadelphia, PA · Hematology & Oncology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.