Taranissi, Ahmed A

Taranissi, Ahmed A is an individual health care provider with primary practice located at 340 Kelley Pkwy , Mexico MO 65265-3811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Taranissi, Ahmed A can be contacted via phone (573) 582-1234.

Contact Information

Primary practice address
340 Kelley Pkwy Mexico MO 65265-3811
Phone: (573) 582-1234
Fax: (573) 582-1212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2000165586 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2000165586 Missouri

Profile Details

NPI number 1215978689
LBN Legal business name Taranissi, Ahmed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 27th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215978689 NPPES
Missouri MEDICAID 1215978689

Popular Providers