Maaytah, Taghreed N

Maaytah, Taghreed N is an sole proprietor health care provider with primary practice located at 3501 S Soncy Rd Ste 102 , Amarillo TX 79119-6405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Maaytah, Taghreed N can be contacted via phone (806) 353-7900.

Contact Information

Primary practice address
3501 S Soncy Rd Ste 102 Amarillo TX 79119-6405
Fax: (806) 353-8321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X J9184 Texas

Profile Details

NPI number 1164589362
LBN Legal business name Maaytah, Taghreed N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Dec 30th, 2020 - about 4 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 1164589362 NPPES
Texas Other 752736163 TAX ID
Texas MEDICAID 110606402 TAX ID

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