Wahid Tazudeen in Tampa - Student In An Organized Health Care Education/training Program

Wahid Tazudeen - NPI 1104008606

Wahid Tazudeen is a Student In An Organized Health Care Education/training Program in Tampa, Florida. Wahid Tazudeen practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Wahid Tazudeen is 1104008606. The last update date is 2021-11-23.

Wahid Tazudeen's current location address is 2816 W Virginia Ave, Tampa, Florida. You can contact this provider via phone number 8138766321 and fax number 8138700350. The mailing address for Wahid Tazudeen is 2816 W Virginia Ave, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Wahid Tazudeen
Address 2816 W Virginia Ave, Tampa, Florida
Phone Number 8138766321
Fax Number 8138700350
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104008606
Provider Enumeration Date 2007-11-27
Last Updated Date 2021-11-23

Provider Mailing Address Detail

Address 2816 W Virginia Ave
City Tampa
State Florida (FL)
Post Code 336076330
Phone Number 8138766321
Fax Number 8138700350

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 57013812
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201120900 IN --
150640003 IN MEDICARE

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FAQs about Wahid Tazudeen

What is the unique 10-digit identifier code issued to Wahid Tazudeen by the Centers for Medicare & Medicaid Services?

The Wahid Tazudeen has been assigned the NPI (National Provider Identifier) 1104008606 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Wahid Tazudeen?

The Wahid Tazudeen is physically situated at 2816 W Virginia Ave, in the city of Tampa, state of FL, with the postal code 336076330.

What is the area of specialization for Wahid Tazudeen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wahid Tazudeen is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of expertise is 390200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104008606 to Wahid Tazudeen?

The Centers for Medicare & Medicaid Services originally issued the 1104008606 to Wahid Tazudeen on 2007-11-27.

When was the information related to Wahid Tazudeen most recently updated or refreshed?

The details pertaining to the Wahid Tazudeen, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-23.

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