Provider Demographics
NPI:1043070261
Name:TAHIR, MUSTAFA BIN (MBBS)
Entity Type:Individual
Prefix:MR
First Name:MUSTAFA
Middle Name:BIN
Last Name:TAHIR
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HCA FLORIDA HEALTHCARE/VSF MORSANI COLLEGE OF MEDICINE
Mailing Address - Street 2:11375 CORTEZ BOULEVARD, STATE ROAD 50
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613
Mailing Address - Country:US
Mailing Address - Phone:352-592-2753
Mailing Address - Fax:
Practice Address - Street 1:HCA FLORIDA HEALTHCARE/VSF MORSANI COLLEGE OF MEDICINE
Practice Address - Street 2:11375 CORTEZ BOULEVARD, STATE ROAD 50
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613
Practice Address - Country:US
Practice Address - Phone:352-592-2753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program