Abtahi, Mohammad

Abtahi, Mohammad is an individual health care provider with primary practice located at 1635 N Arlington Heights Rd Ste 203 , Arlington Heights IL 60004-3960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Abtahi, Mohammad can be contacted via phone (847) 375-0888.

Contact Information

Primary practice address
1635 N Arlington Heights Rd Ste 203 Arlington Heights IL 60004-3960
Fax: (847) 375-0396
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036077353 Illinois

Profile Details

NPI number 1174546048
LBN Legal business name Abtahi, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 19th, 2022 - about 2 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 1174546048 NPPES
Other 364194294 TAX ID
MEDICAID 036077353 TAX ID

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