Doctor Name: | DR. HASSAN I. TAHSILDAR |
NPI Number: | 1629067269 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35063477 |
Business Practice Address: | 1580 Commanche Ave Green Bay, WI - 543135751 |
Business Phone Number: | 9204358326 |
Business Fax Number: | |
Mailing Address: | Po Box 22487, GREEN BAY |
State: | WI |
Postal Code: | 543052487 |
Phone Number: | 9204457222 |
Fax Number: | 9204457289 |
NPI Enumeration Date: | 10/17/2005 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35063477 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |