Qayum, Tahir
Qayum, Tahir is an individual health care provider with primary practice located at 12700 Southfork Road Suite 220, Saint Louis MO 63128-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Qayum, Tahir can be contacted via phone (314) 543-5942.Contact Information
Primary practice address
12700 Southfork Road Suite 220
Saint Louis MO 63128-2106
Phone: (314) 543-5942
Fax: (314) 543-5947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 106241 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11011 | Missouri |
Profile Details
| NPI number | 1306907738 |
|---|---|
| LBN Legal business name | Qayum, Tahir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Mar 14th, 2017 - about 8 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 | 1306907738 | NPPES |
| Missouri | MEDICAID | 208093419 |
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