Provider Demographics
NPI:1073576278
Name:TASWIR, RAHAT (MD)
Entity Type:Individual
Prefix:
First Name:RAHAT
Middle Name:
Last Name:TASWIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 FOREST HILLS DR
Mailing Address - Street 2:SUITE 19
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1095
Mailing Address - Country:US
Mailing Address - Phone:717-540-4420
Mailing Address - Fax:717-540-4427
Practice Address - Street 1:2209 FOREST HILLS DR
Practice Address - Street 2:SUITE 19
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1095
Practice Address - Country:US
Practice Address - Phone:717-540-4420
Practice Address - Fax:717-540-4427
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068499L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001780292Medicaid
PA034618G98Medicare PIN
PAH09009Medicare UPIN