Ibrahim, Tahcin

Ibrahim, Tahcin is an individual health care provider with primary practice located at 105 Marys Ave , Kingston NY 12401-5829. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ibrahim, Tahcin can be contacted via phone (845) 338-2500.

Contact Information

Primary practice address
105 Marys Ave Kingston NY 12401-5829
Phone: (845) 338-2500
Fax: (845) 331-2530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 296592 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036063818 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036063818 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A40663 California

Profile Details

NPI number 1841243649
LBN Legal business name Ibrahim, Tahcin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 1st, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841243649 NPPES
Illinois MEDICAID 036063818

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