| Tahir Medical Services, Llc | |
|
13190 S Outer 40 Rd Chesterfield MO 63017-5917 | |
| (314) 628-1408 | |
| Not Available |
| Full Name | Tahir Medical Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13190 S Outer 40 Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Amged Eltahir (OWNER) |
| Authorized Official Contact | 3147292856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahir Medical Services, Llc Po Box 66980 Saint Louis MO 63166-6980 Ph: (314) 628-1408 | Tahir Medical Services, Llc 13190 S Outer 40 Rd Chesterfield MO 63017-5917 Ph: (314) 628-1408 |
| NPI Number | 1649696303 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 06/04/2015 |
| Medicare PECOS PAC ID | 1557584323 |
|---|---|
| Medicare Enrollment ID | O20140523000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649696303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 2006027556 (Missouri) | Primary |
| Provider Name | Amged A Eltahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669499372 PECOS PAC ID: 2769584333 Enrollment ID: I20070228000317 |
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