Provider Demographics
NPI:1225481088
Name:ADNAN, TAIMOOR (MD)
Entity Type:Individual
Prefix:
First Name:TAIMOOR
Middle Name:
Last Name:ADNAN
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 1:1500 FIFTH AVE
Mailing Address - Street 2:1ST FLOOR KELLY BUILDING
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2422
Mailing Address - Country:US
Mailing Address - Phone:412-664-2782
Mailing Address - Fax:412-664-2874
Practice Address - Street 1:1500 FIFTH AVE
Practice Address - Street 2:1ST FLOOR KELLY BUILDING
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2422
Practice Address - Country:US
Practice Address - Phone:412-664-2782
Practice Address - Fax:412-664-2874
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.135084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine