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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 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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