Ahdab, Tarek Mohamad
Ahdab, Tarek Mohamad is an sole proprietor health care provider with primary practice located at 12400 S Harlem Ave Ste 112 , Palos Heights IL 60463-1477. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ahdab, Tarek Mohamad can be contacted via phone (708) 923-7650.Contact Information
Primary practice address
12400 S Harlem Ave Ste 112
Palos Heights IL 60463-1477
Phone: (708) 923-7650
Fax: (708) 923-7655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036105726 | Illinois |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036105726 | Illinois |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036105726 | Illinois |
Profile Details
NPI number | 1184849747 |
---|---|
LBN Legal business name | Ahdab, Tarek Mohamad |
Credentials | MD, FACC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 17th, 2007 |
Last updated | Apr 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 | 1184849747 | NPPES |
Illinois | Other | L92325 | PROVIDER NUMBER |
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