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
Phone: (847) 375-0888
Fax: (847) 375-0396
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174546048 | NPPES |
Other | 364194294 | TAX ID | |
MEDICAID | 036077353 | TAX ID |
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