Abbasi, Tahir A
Abbasi, Tahir A is an sole proprietor health care provider with primary practice located at 17680 Kedzie Ave Suite 206, Hazel Crest IL 60429-2043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Abbasi, Tahir A can be contacted via phone (708) 206-1090.Contact Information
Primary practice address
17680 Kedzie Ave Suite 206
Hazel Crest IL 60429-2043
Phone: (708) 206-1090
Fax: (708) 460-9192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036068401 | Illinois |
Profile Details
| NPI number | 1255495701 |
|---|---|
| LBN Legal business name | Abbasi, Tahir A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Apr 12th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255495701 | NPPES |
| Indiana | Other | 364063266 | BLUE CROSS BLUE SHIELD |
| Indiana | Other | P00369878 | BLUE CROSS BLUE SHIELD |
| Indiana | MEDICAID | 036068401 | BLUE CROSS BLUE SHIELD |
| Indiana | Other | 060029163 | BLUE CROSS BLUE SHIELD |
| Indiana | Other | 0001608454 | BLUE CROSS BLUE SHIELD |
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